University of Wolverhampton

Mentor Volunteer of the Year

Nomination Form 2016-17

We welcome nominations on behalf of those student volunteers who are considered to have made an outstanding contribution to an organisation, group or community. The Award winners will be announced at the Annual Employment & Volunteering Awards Eventfollowing careful scrutiny and selection by our judging panel.

Selection will be based on the following criteria:

  • Commitment
  • Team work, leadership and creativity
  • Impact on community, voluntary organisation, and other students
  • Personal Development

To be eligible to apply or be nominated for this award, nominees must be registered with Volunteer Central and have completed a minimum of 50 hours volunteering.

To nominate a volunteer for University of Wolverhampton Mentor Volunteer of the Year Awardplease provide the following information:

1. Your name and contact details:

Nominator:

Job Title (if applicable):

Address:

Telephone No:

Email:

IMPORTANT NOTICE TO THOSE PROVIDING THIS INFORMATION: It cannot be stressed strongly enough that those who nominate students should provide full and detailed information for each of the following categories. You know the student well, but the selection committee does not. So please help them in the selection process by providing as much detail as you can – otherwise you may disadvantage your nominee.

2. In what capacity are you nominating this person?Tick box 

Voluntary/community organisation (please state name of organisation)□

University tutor□University student □

3.Nominee details

Student Name:Student No:

4.Please provide information on the project(s) this volunteer works with, and describe their role.

Name of voluntary or community organisation:

Address:

Project / Role:

How long have they volunteered with the project and how often?

Please provide as much relevant information as possible, maximum word count 300 words.

Each box will expand as you type.

(Maximum 300 words)

  1. Please describe the meaningful contribution their volunteering activity has made to your organisation and the wider community.

(Maximum 300 words)

  1. Why do you think that this volunteer stands out or is an inspiration to others and should receive this Award?
  • I confirm that the information given is correct to the best of my knowledge.
  • This nomination is submitted with the permission of the nominee.

By accepting a nomination, nominees agree to take part in media publicity activity.

  • I have read and understand the rules of the scheme.

Nominator:

Date: / Name / Signature

Nominee:

I confirm that I have undertaken voluntary activity during the current academic year 2016-17.

Date: / Name / Signature

Please return this form to:Volunteer Central, MD Concourse, University of Wolverhampton, Wulfruna Street, Wolverhampton, WV1 1LYby 24thMARCH2017

If you would like to discuss the nomination, or any aspect of the award, please contact Volunteer Central, MD Concourse, University of Wolverhampton, Wulfruna Street, Wolverhampton, WV11LY. Telephone 01902 322900 or email:

Thank you for taking the time to nominate this student for the

University of Wolverhampton Mentor Volunteer of the Year Award 2016-17

Award sponsored by:

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