C O P Award Form

C.O.P. AWARD NOMINATION

Nominated Project (Name or Title):

Project Address: :

Contact Person:

Phone Number: :

Email Address:

Chaplains & Volunteers Involved in the Project: :

Purpose or Mission Statement of the Program: :
Specific Goals or Outcome Statements of the Program
(using the seven eligibility criteria): :

Starting Date of the Program:

Normal Meeting Time and Location of the Current Program:

Description of the Program (in 100 words or less):

Supporting documentation and/or testimonials may be submitted by mailing to:

Dale Hale
131 E. Calgary
Bismarck, ND 58503-0303
Tel: (701) 223-1889
e-mail: Dale_Hale@usc.salvationarmy.org

Nominated Project (Name or Title):
Project Address: :
Contact Person:
Phone Number: :
Email Address:
Chaplains & Volunteers Involved in the Project: :
Purpose or Mission Statement of the Program: :
Specific Goals or Outcome Statements of the Program (using the seven eligibility criteria): :
Starting Date of the Program:
Normal Meeting Time and Location of the Current Program:
Description of the Program (in 100 words or less):