Distinguished Service Awards Nomination Form - Lebanon Chamber ...

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businesses and organizations that have shown a dedication to our community exemplary ... The Frankie Gray 'Answering the
2014 Lebanon Community Distinguished Service Awards

Distinguished Service Awards Nomination Form Nominations are now being accepted for the 2014 DSA Awards. You know exceptional individuals, businesses and organizations that have shown a dedication to our community exemplary service, and community leadership. Often times these people are behind the scenes and overlooked. It is time to honor them with much deserved recognition and accolades! Please take a minute to complete this form and return it to the Lebanon Chamber of Commerce no later than Feb. 13, 2015! Awards will be presented on March 10th at the Lebanon Community Distinguished Service Awards at the Samaritan Event Center, 605 Mullins Dr., Lebanon. Tickets will be available at the Chamber

Man of the Year (age 40-59) :

Outstanding contribution of community service

over two years

Woman of the Year (age 40-59):

Outstanding contribution of community service

over two years

Junior First Citizen (age 21-39):

Outstanding contribution of community service

over two years

Senior First Citizen (age 60+):

Lifetime of volunteer service to the Lebanon

Community

Large Business of the Year (25+ employees) Small Business of the Year (less than 25 employees) Business Leader of the Year:

Exemplifies superior business practices, ethics and

quality. Provided leadership and positively influenced their business and our community

Non-Profit Organization of the Year:

Provided invaluable services to the

community and positively influenced our citizens. Members actively participate in service projects and programs leading to civic improvements, human welfare or environmental enhancement.

The Frankie Gray ‘Answering the Call Award’:

A person of any age who

is noted for ‘Answering the Call’. The person you can depend on. This person has unselfish devotion to serving friends, community and anyone in need whenever called upon. Use the reverse side of this form to describe

Please fill out and return this form to the Lebanon Chamber of Commerce 1040 Park. St, Lebanon OR 97355 or online at [email protected]

Letters of recommendation should accompany nomination Winners will be selected based on the following criteria: Civic & Community Involvement Social & Economic Impact Leadership Overall Community Service Individual Nominee’s Name:_________________________________________________________________ Award____________________________________________________________________________________ Nominee’s occupation/title __________________________________________________________________ Your Name & Phone Number________________________________________________________________ --------------------------------------------------------------------------------------------------------------------------------Business/Non- Profit Name:__________________________________________________________________ Award:___________________________________________________________________________________ Your Name & Phone Number________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ _________________________________________________________________________________________

Nomination Deadline: Feb. 13, 2015. Presented at the Community Distinguished Service Awards: March 10, 2015. Tickets available at the Lebanon Chamber 1040 Park St. Lebanon.

Visa gladly accepted! Please note-Submissions must include detailed form must accompany your nomination. Please explain in detail why your nominee deserves the award. Nomination form MUST have a signature and phone number to count the nomination. Complete this form you may make additional copies as needed. You can also download this at our website: www.lebanon-chamber.org