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Senior Citizen Volunteer of the Year Nomination Form

Valley Area Agency on Aging would like to present a Volunteer of the Year Award to recognize those in the community who go above and beyond while serving the elderly and disabled.  This award is designed to recognize and show gratitude to individuals for their generous contributions toward improving the lives of seniors and people with disabilities in Genesee, Lapeer, and Shiawassee Counties.

Candidates must be age 60 or older.

Please submit your nomination below for the Valley Area Agency on Aging’s Volunteer of the Year Award.  Please provide as much detail as possible.  Each nomination requires a separate form.  Multiple nominations from the same person are welcome. All nominees will be recognized.

A mailing address is required for each nominee.  Please also provide an e-mail address if available.

If you have any questions, please contact Valley Area Agency on Aging at (810) 249-6520.

The award will be presented at Valley Area Agency on Aging’s Annual Meeting held on March 26, 2018.

Nomination forms are available on our website at ( and can be submitted via the website.  Forms can also be submitted by fax (810-239-8869), E-mail (, or by postal mail at 225 E. Fifth St. Suite 200 Flint, MI 48502.

Please submit all nominations no later than February 9, 2018.

Thank you for your nomination.