Valley Council of Health & Human Service Organizations

Program/Agency of the Year Award

Nomination Form

For a non-profit agency or a program within a non-profit agency whose staff and volunteers exemplify excellence in the community and whose services have made a significant and lasting contribution to the health and well being of the residents of the lower Naugatuck Valley. Click here to see a list of previous winners.

This year's award will be presented at the Annual Meeting in December.

Use this convenient form to make your nomination:


Information for agency being nominated:  
Organization:  
Address 1:  
Address 2:  
City: State: Zip:  


Person making the nomination: (optional) 
Name:  
Organization:  
Address 1:  
Address 2:  
City: State: Zip:  
E-mail Address:  

Please use the space below to tell us why this agency is deserving of this award:  



Thank you for taking the time to make this nomination!