CHARLES H. FLYNN HUMANITARIAN AWARD

Applications for the Charles H. Flynn Humanitarian Award are accepted at any time. Simply fill in the required information and click on submit. If you have any additional questions, please e-mail them to valleyunitedway@valleyunitedway.org. The 2012 award winner will be announced soon and will be presented at the Annual Meeting on April 26 at Grassy Hill Lodge in Derby.

On-Line Flynn Nomination Form

Basic information about nominee:
 

Nominee's Name:

Address 1:

Address 2:

City: State Zip: 

Phone:

E-mail:

Personal Information:
Spouse Name:

Children:

 

Occupation:

Education:

Community Activities:

Professional and/or Community Affiliations:

Honors or Awards which demonstrate recognition of achievement and/or community service:

Comments:

Person submitting nomination (optional):
Name:

Work Phone:    Fax:

E-mail Address:

      

 

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