West Virginia Citizen Corps
West Virginia Business Volunteer Council
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Additional Grants and Resources at WVPASS
form and information (paper)
the nomination form (paper)
500 word statement and supporting materials here
Postmarked, delivered, or submitted online by
April 12, 2013 at 5:00 p.m.
Please list three (3) references who can verify the scope and extent
of the nominee’s community service activities. This person should
be familiar with the community service of the nominee and may not
be the nominator, nominee or a relative of the nominee.