Valley Council of Health & Human Service Organizations

Program/Agency of the Year Award

Nomination Form

For a non-profit agency or a program within a non-profit agency whose staff and volunteers exemplify excellence in the community and whose services have made a significant and lasting contribution to the health and well being of the residents of the lower Naugatuck Valley. Click here to see a list of previous winners.

This year's award will be presented at the Annual Meeting on December 2. The deadline for 2008 nominations is October 19.

Use this convenient form to make your nomination:


Information for agency being nominated:  
Organization:  
Address 1:  
Address 2:  
City: State: Zip:  


Person making the nomination: (optional) 
Name:  
Organization:  
Address 1:  
Address 2:  
City: State: Zip:  
E-mail Address:  

Please use the space below to tell us why this agency is deserving of this award:  



Thank you for taking the time to make this nomination!