GCAC Servant's Heart Nomination Form
The Servant’s Heart Award will recognize Sorors for their hard work in the Gwinnett county community serving others and not as a condition of her employment; nor as a requirement of GCAC. This form must be completed in its entirety to be considered. Failure to follow instructions may result in a delayed review of the nomination. Nominations are due by 11:59 pm on April 30, 2017. If you have questions, please email us at recognition@gwinnettdst.org.
Nominee's Name
*
First Name
Last Name
Submitter's Name
*
First Name
Last Name
Please Do Not Reveal My Name to the Nominee
(check here)
Submitter's Phone Number
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Area Code
Phone Number
Please provide no more than three (3) examples of how the nominee provided service to our community (not as part of her job):
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Submitter's Email
Please provide a brief explanation of how this person exhibits at least five(5) of our nine cardinal virtues.
Compassion
Courtesy
Dedication
Fellowship
Fidelity
Honesty
Justice
Purity
Temperance
Please add any additional comments you wish for the committee to know:
Incomplete entries will not be considered.
Submit
Should be Empty: