BRIDGING THE GAP AWARD NOMINATION FORM
Nomination Criteria:
1. Must be a member in good standing,
(Can be a member under watch care).
2. Must have been a member of Rehoboth for at least 1 year.
3. Can be nominated by anyone (church or family member,
friend, coworker, etc.).
4. Can NOT self-nominate
5. Deed/Service must have been performed in 2023.
6. Open to all ages 
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Nominee’s Name
Number of Years as a member of Rehoboth 
Age
Nominator’s Name
Relationship to Nominee
Phone Number
Description of Deed/Service:
Please provide a brief description of how the
nominee bridged the gap between the church and
community. The description MUST include when in 2023 the deed/service was performed, AND what impact the
deed/service had on the individual, organization, agency,
community, etc.
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