We hope to perpetuate the message of the Good Samaritan, honoring the person or persons who best exemplify the spirit of Don Diebel, Jr. Each year, nominees are accepted from all sources. To make a nomination, please complete the form below:
Nominee Name:
D.O.B.:
Mailing Address:
City, State, Zip:
Day/Eve.Phone:
Email:
Please explain why this person should be a candidate for the award:
Your Name:
Mailing Address:
City, State, Zip:
Day/Eve.Phone:
Email:
