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Fairfax County Volunteer Service Awards
Northern Virginia Technology Council Foundation Service Award

This award will honor an NVTC member organization that has made an outstanding service contribution to the community through the use of technology.

This form can be submitted online or printed and mailed or faxed to Volunteer Fairfax at the address at the bottom of the page.

Name of NVTC Member Organization Nominee:


Name of Member Organization Contact:


Address:


City/State/Zip:


Telephone Number:


Fax:


Email:


Website:


Organization for which nominee volunteered services:


Contact Name:


Address:


City/State/Zip:


Telephone Number:


Fax:


Email:


Name of Person Submitting Nomination Form:


Organizational Affiliation:


Address:


City/State/Zip:


Telephone Number:


Fax:


Email:


Narrative Statement:



 

 
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