Utah Philanthropy Day - Lt. Governor’s Public Service Award

English

Public Service is defined as promoting the quality of life in a community, through both political and non-political processes. The Lieutenant Governor’s Public Service Award honors an individual who has improved their community through public service. Minimum qualifications are 5 years of continuous or near continuous service. This can include serving in a public service role (professional or volunteer capacity) as well as advocacy efforts, awareness campaigns, and community organizing and activism.

To uphold the fairness and integrity of the Utah Philanthropy Day award selection process, individuals currently serving on the event’s Steering Committee are not eligible for main award nominations. We warmly encourage nominations for these individuals in the Heart & Hands or Corporate Community Champion categories instead, where their contributions can still be meaningfully recognized.

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Nominee's Information

Nominee's Full Name *

Nominee's Current Organization *

Nominee's Email *

Nominee's Phone *

Mailing Address

City *

State *

Zip Code *

Nominator Information

Nominator's Full Name *

Nominator's Current Organization *

Nominator's Email *

Nominator's Phone *

Mailing Address *

City *

State *

Zip Code *

What is your relationship to the nominee? *

Briefly describe how you know them and in what capacity.

Questions

English

Please respond to the following questions in the space provided. Please limit responses to 500 words.

Submissions will not be evaluated based on grammar or spelling.

Utah Philanthropy Day recognizes that Utah’s multicultural communities are a vital part of the philanthropic community. As such, translation services will be available as needed. We are committed to hosting a welcoming event, and encourage organizations to nominate individuals of all language abilities.

If you need this nomination form translated into a language other than English or Spanish, please contact This email address is being protected from spambots. You need JavaScript enabled to view it..

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1. Tell us about the many ways that this nominee has been involved within your community. Please be sure to include years of service and the various capacities in which they promote the quality of life. *

Cuéntenos de qué maneras el nominado se ha involucrado con la comunidad. Asegúrese de incluir los años de servicio y las diversas capacidades con las que promueven la calidad de vida.

2. Briefly explain the quantifiable impact this nominee has had within the community. *

Explique en pocas palabras el impacto cuantificable que este nominado ha tenido dentro de la comunidad.

3. Describe this nominee's involvement with public service. *

Describa la participación del nominado en el servicio público.

4. In what ways has the nominee’s work or service fostered a greater sense of belonging, improved access to resources or opportunities, and strengthened community connections in Utah? *

¿De qué manera el trabajo o servicio del nominado ha fomentado un mayor sentido de pertenencia, mejorado el acceso a recursos u oportunidades y fortalecido las conexiones comunitarias en Utah?

5. Describe how this nominee exemplifies humanitarian leadership in the community. Please use this space to mention any qualities, contributions, or impacts that may not have been highlighted in answers to previous questions. *

Describa cómo este nominado ha sido ejemplo de liderazgo humanitario en la comunidad. Use este espacio para mencionar cualidades, contribuciones o impactos que no se hayan destacado en sus respuestas a las preguntas previas.

Terms of Nomination *

Should the nominee be selected, I, as the nominator for this award agree to serve as liaison with the award recipient in the acceptance of the award, and coordination of the media and/or video production. In the event that multiple nominations for this person/entity are received, I agree to work with the event coordinator to determine a single point of contact.

Signature *

Name

Lt. Governor’s Public Service Award

English

Español

Nominee's Information

Nominator Information

Questions

English

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