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City of Virginia Beach VB Mayor’s Commission on Aging (MCOA)

2401 Courthouse Drive, Building 1 Virginia Beach, VA 23456

Dr. Lanny Hampel Award

To an Individual for Exemplary Service to Senior Citizens

PURPOSE: To officially recognize an individual whose service to seniors has been exceptional. The service or initiative must have extended significantly beyond the requirements of employment duties and responsibilities.

CRITERIA: The nominee must be a resident of / or operational in the City of Virginia Beach. An exceptional contribution is a new or continuing initiative undertaken to expand, improve or establish programs that benefit our senior population. The contribution must have occurred within the year prior to the nomination.

NOMINATION INSTRUCTIONS: Please complete this form as concisely as possible, as only the information provided on the form is reviewed. The award presentation will take place at the Commission’s Annual Senior Showcase on Wednesday, May 29, 2024 at the Princess Anne Recreation Center, 1400 Nimmo Parkway, Virginia Beach.

The deadline for accepting nominations is April 30, 2024.

For additional forms or questions, please email the MCOA at vbmcoa@vbgov.com, or visit our website at: https://virginiabeach.gov/city-hall/mayors-office/mayors-commission-on-aging and click Awards.

Nomination Form

Nominee (select one)

Name of individual

Full Address

Nominator

Full Name

Full Address

Reason for Nomination

1. Achievements/Results 

Please list what the nominee has done to promote better service to seniors, area of influence (regional, community, statewide, national, etc.) and the results of their efforts.

2. Additional Considerations

Please include other factors/attributes, such as years of service, dedication, leadership, initiative and resourcefulness.