Please complete the form below to nominate a DMV Queens to receive DMV Queens Night Honors Award. The nomination is based on the volunteer community service the nominee is doing to make a difference. We look forward to hearing your stories about Queens who have gone above and beyond for others.

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Nominator Name *

First

Last

Nominator Home Church *

Nominator Pastor's Name *

First

Last

Nominator Email *

Nominator Phone Numbers *

Nominee Name *

First

Last

Nominee Email *

Nominee Phone Numbers *

Nominee Location *

Enter City, State, Country

Nominee Home Church *

Home Church Website Address *

Nominee Pastor's Name *

First

Last

Volunteer Community Service Name *

Enter the name of the community/Volunteer service the nominee is serving

Describe the Nominee Volunteer Community Service activities *

Please tell us in detail why you feel this nominee Queen is a hero. *

Provide Testimonials/ Social Media/Website Address *

Website address, or any social media links associated with the community Service by the nominee.

Provide 2 References for Nominee's Service *

Enter Name, email address and phone number

Additional Information

Submit