ROOTS Nominee Submission

Recognizing Outstanding Outreach, Teamwork, & Service

*First name

Last name

*Your Role/Connection to the Palestine YMCA :

Staff

Volunteer

Member

Other

*Nominee's Name

*Nominee's Role at Palestine YMCA (if known) :

*Why are you nominating this person?

What values does this nominee embody most strongly?

Caring

Honesty

Respect

Responsibility

All of the above

*How has this person's presence or actions made a difference for you or someone else at the Y? (Feel free to include quotes, specific examples, or emotional impact.)

*Would you like to remain anonymous?

Yes

No

All nominations will be reviewed by our ROOTS committee and a winner will be chosen each quarter!

Contact

5500 SH-256 Loop Palestine, TX 75801

United States

Tel: 903-729-3139

Mon-Thurs:

5am-10pm

Friday:

5am-8pm

Saturday:

8am-5pm

Sunday:

Closed

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Enter Your Email

Enter Your Subject

Message

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