Outstanding Senior Award Nomination Form

DEADLINE for Applications is April 4th, 2025.
Individuals and organizations involved with seniors may submit nominations to the Agency.

Outstanding Senior Award
There will be one (1) awardee for each county: Ashland, Crawford, Huron, Knox, Marion, Morrow, Richland, Seneca,
and Wyandot.

Guidelines and Eligibility Criteria:

• Individual must be 60 years of age or older.
• Nominee must be legal resident of Ohio for the past 10 years or longer. Posthumous nominations are
  accepted.
• Major emphasis should be placed on the impact of their contributions and accomplishments to the
  community made by the individual AFTER reaching age 60; however, prior contributions may be
  considered.
• Service in any field of endeavor should be considered (e.g., education, radio, television, business,
  medicine, art, music, journalism, religion, athletics, politics, and volunteer service).
• A husband and wife may receive this award jointly when both have been involved in service and various
  community endeavors.
• The individual must be either a resident of one of the 9 counties (Ashland, Crawford, Huron, Knox, Marion,
  Morrow, Richland, Seneca, or Wyandot) OR has volunteered and positively impacted one of those 9
  counties.

*Previous recipients are not eligible – please contact the AAA if you are not sure.

Nominators will receive confirmation of receipt by email. If you do not receive a confirmation, please contact
Sue Montgomery at 567-247-6458.

If your nominee is selected, the Award Ceremony will be held at the Ohio District 5 Area Agency on Aging
(2131 Park Avenue West, Ontario) on August 15th, 2025, at 10:00 AM.

You will receive your invitation via email. *Please note that you will only be notified if your nominee is selected.*

Questions? Contact Sue Montgomery at 567-247-6458 or via email at smontgomery@aaa5ohio.org.

Nomination Form

* required fields