Stellar Servant Form

Your Name

First Name

Last Name

Your Email Address

Stellar Servant Name

First Name

Last Name

What Nonprofit or Charitable Organization do they help

How do they help your organization and/or the Shelby County, IN community?

Personal Stories

Would you like to add any personal stories of how they have impacted your organization or the community?

Are you okay if we honor this Stellar Servant on Social Media?

Stellar Servants will be listed on the Serve Shelby website. Please let us know if it is okay to also include them on the Serve Shelby Social Media feeds.

Yes, you may also include them on Serve Shelby Social Media Sites.

No, please list them only on the Serve Shelby website.