Governor's Service Awards: Organization Nomination Form - Deadline: March 7, 2025

1. OVERVIEW

Use THIS LINK to review the Nomination Guidelines and ensure your nominee will qualify.

Only one nomination can be made through this form. To submit multiple nominations, open a new form using the link on the last page.

All information requested must be provided in order for the nomination form to be considered complete. Incomplete forms will not be considered.

Two letters of reference are required for each nomination. You have the option of pasting the letter text into this form or uploading the letter as a file. Regardless, the contact information for the person giving the reference must be provided.

Please note this form cannot be saved and edited/completed later. Be sure to have all your text and information prepared before you start.

Questions about the nomination process may be directed to service.commission@maine.gov

Question Title

* 1. Please fill in YOUR (the nominator) information below:

Name: *

Organization:

Physical Address: *

Postal Address:

City/Town: *

State: *

ZIP/Postal Code: *

Email Address: *

Phone Number: *

Question Title

* 1. Please fill in YOUR (the nominator) information below:

Question Title

* 2. What is your relationship to the nominee? (Supervisor, employer, neighbor, principal etc.)