Call for Nominations: Joined Hearts in Giving

The Joined Hearts in Giving Reception was established in 1999 to honor couples who have been married for at least 40 years and volunteer in their communities. The event is held annually in observance of Valentine’s Day.?

Criteria:?

Couple must be married 40 years or longer; at least one of the spouses must be age 60 or older.
Each spouse must actively participate and volunteer in community service.
Couple’s primary residence must be in Ohio.

To nominate a couple, simply complete and submit the form below. Alternately, you can download a printable nomination form to fill out and fax or mail in.

All fields, except where noted, are required.

For help completing this form, refer to the Additional Instructions and Information or click the ? icon for context-specific help.

Husband's name:?
Husband's birthdate (mm/dd/yyyy):

Wife's name:
Wife's birthdate (mm/dd/yyyy):

Street address:
City, State, Zip:
County:
Daytime phone:

Number of years married:

Where does the husband currently volunteer?

1. Location:
How long?
How often?

2. Location:
How long?
How often?

3. Location:
How long?
How often?

Where does the wife currently volunteer?

1. Location:
How long?
How often?

2. Location:
How long?
How often?

3. Location:
How long?
How often?

Write a brief essay (approximately 500 words) describing why you believe this couple should be recognized:?

Nominator's name:?
Street address:
City, state, ZIP:
Daytime phone:
E-mail (optional):

By clicking the submit button below, you acknowledge that the information contained in this nomination is factual and accurate and that you have verified it with the couple.? Nominations will only be accepted between Oct. 17 and Nov. 30. Please refer to our Privacy Statement for details about information sent electronically.

Please note: You will be notified if this nominee is or is not selected. Nominations not selected may be resubmitted next year.

Additional Instructions and Information

Selection process - Selection for Joined Hearts in Giving is determined by the total number and geographical distribution of all nominations received. To achieve statewide representation, the Ohio Department of Aging will select honorees from each of twelve geographic regions of Ohio. No more than three couples will be chosen per region. Click here for a map showing these regions.
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Minimum criteria – A nominee must meet all three criteria listed on this nomination form to be considered for the Joined Hearts in Giving recognition.
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Nominee information – Please provide all information requested for both the husband and wife. Birthdate information will be used to determine eligibility only and will be shared with the selection committee, but will not be published or shared with any other party or used for any other purpose without the nominee’s consent. List up to three volunteer endeavors for each spouse. You may include details of additional endeavors on a separate page.
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Essay – Your essay should be no longer than approximately 500 words.
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Nominator information – Please provide your contact information. If you are nominating on behalf of an organization, please note so along with your name.
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Affidavit – By signing/submitting this nomination, you certify that the information it contains is accurate and has been verified by all appropriate parties, including the nominee.
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Other materials - You may send other materials (e.g., resume, news articles, commendations, etc.) to support your nomination, provided they are relevant to the field(s) of endeavor for which the person is being nominated. Please send to: Special Events, Ohio Department of Aging, 50 W. Broad St./9th Floor, Columbus, OH 43215-3363. Or, fax to: (614) 466-8893. Do not send originals, we cannot return them.
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