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Jefferson County

jeffco@jeffersoncountywi.gov

311 S. Center Avenue, Jefferson, WI, 53549, US

LIFETIME VOLUNTEER NOMINATION FORM

The Lifetime Volunteer Award honors a 4-H certified leader who has been part of the Jefferson County 4-H Program for 11 or more years. The Lifetime Volunteer Award goes to someone who demonstrates exemplary service to 4-H while promoting service through volunteerism as both an opportunity and a privilege. 

Nominator (Your) Name

Full Address

Name of Nominee:

In the space below, please describe why you feel this nominee deserves to be honored with the Lifetime Volunteer Award.