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Jefferson Awards Nomination Form
Step 1: Nominee Information
First name:
Last Name:
Email address:
Address 1:
Address 2:
State:
Zip code:
Home phone:
Work phone:
Local media partner:
Step 2: Nominator Information
First name:
Last Name:
Email address:
Address 1:
Address 2:
State:
Zip code:
Home phone:
Work phone:
Relationship: Describe your relation to the nominee, including how long you have known him/her.
References: List two additional people who are not related to the nominee as references. Please include phone numbers.
Outstanding Personal Acts: Please describe the nominee's outstanding personal acts.


Past Winners

Past winners of the national award include Cesar Chavez, Jimmy Carter, Walter Chronkite, General Colin Powell, Arthur Ashe, Paul Newman, Lance Armstrong among many others.

On the local level, Jefferson Awards recipients are ordinary people who do extraordinary things without expectation of recognition or reward. By honoring the Jefferson Award recipients, it is the goal of the American Institute for Public Service to inspire others to become involved in community and public service.

By last count, the Jefferson Awards had 147 Media Partners in 93 communities, setting an all-time record. The Jefferson Awards is the nation's largest media partnership highlighting service to America.

 
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