Ohio Department of Aging Nominations

Call for Nominations - Joined Hearts in Giving

The Joined Hearts in Giving Reception was established in 1999 to honor long-married couples who share a commitment to not only each other, but also to their community through volunteerism. The event is held annually in observance of Valentine's Day.

Couples selected for Joined Hearts in Giving set an example for all Ohioans and demonstrate traits such as love, faith, respect, communication, tolerance and forgiveness. They know what it takes to work together, share responsibilities, listen and use humor to get through the tough times.

Criteria:   

1. Couple must be married 40 years or longer; at least one of the spouses must be age 60 or older.   
2. Each spouse must actively participate and volunteer in community service.   
3. Couple's primary residence must be in Ohio.   
4. Nominees must be aware of and consent to this nomination.
    

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. For a map showing these regions, please visit www.aging.ohio.gov/resources/areaagenciesonaging/.

To nominate, simply complete the form below. Alternately, you can download a printable nomination form.

Nominations must be received or postmarked by Dec 31, 2012.

Questions? Call (614) 728-0253

Nominee information - Please provide all information requested for both spouses. 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information will be used to determine eligibility only and will be shared with the selection committee, but will not be published or shared with any other party or used for any other purpose without the nominee’s consent.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.

Husbands' name:		Birthdate (mm/dd/yyyy):
Wife's name:		Birthdate (mm/dd/yyyy):
Street address:		County:
City/State/Zip:		Day phone:
E-mail address:
Years married:

Where does the husband currently volunteer?	How long?	How often?
1.
2.
3.

Where does the wife currently volunteer?	How long?	How often?
1.
2.
3.

Nominator information - Please provide your contact information. If you are nominating on behalf of an organization, please note so along with your name. You will be notified if this nominee is or is not selected.
Nominator's name:
Street address:
City/State/Zip:		Day phone:
E-mail address:
Organization:

By checking the box below, you attest that you have verified that the information provided on this nomination form and any related attachments is factual and accurate.
I do so attest.	Date:
Nominee's consent - By checking the box below, you attest that you have received consent from the nominee or his or her representative to submit this nomination. We may request a signature of consent to verify. Nominations without consent will not be considered.
I do so attest.	Date:
Essay - Please type or paste below an essay that describes the nominees’ volunteer activities, gives dates for these activities and explains why the nominees are worthy of being honored as Joined Hearts in Giving. Your essay should be approximately 500 words. Other materials - You may submit other materials (e.g., résumé, news articles, commendations, photos, etc.) to support your nomination, provided they are relevant to the field(s) of endeavor for which the person is being nominated. Please call 614-728-0253 for instructions on submitting additional documentation. Do not send originals, we cannot return them.
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