Nomination forms and comments should be submitted to: Older Americans Month Planning Committee c/o Lindsay Ternes. The V
2018 2018 REMARKABLE OLDER AMERICAN AWARD NOMINATION FORM Nominations are being accepted for Kenosha’s 2018 Remarkable Older American Award which will be presented at the Older American’s Month Celebration on May 24, 2018. Individuals being nominated for the award must meet the following criteria: · Kenosha County Resident · 60 years of age or older · Outstanding services to his/her community through Military service, volunteerism, commitment to family and/or career achievements which have a made a substantial and positive impact Individuals, organizations or businesses may nominate an individual for the award. Prior award recipients are not eligible, however, previously nominated persons are eligible. Nominations must be received by Friday, March 9, 2018. Please include with this form a separate sheet of paper stating why you believe your nominee should receive the Remarkable Older American Award, based on the criteria listed above. PLEASE LIMIT NOMINATION COMMENTS TO 300 WORDS OR LESS. Questions may be directed to: Lindsay Ternes 262-960-5169 Nomination forms and comments should be submitted to: Older Americans Month Planning Committee c/o Lindsay Ternes The Villa at Lincoln Park 1700 C.A. Becker Drive Racine, WI 53406 Or email:
[email protected] NOMINATOR:_________________________________________________________________________________ COMPANY (OPTIONAL):________________________________________________________________________ TELEPHONE NUMBER:_________________________________________________________________________ EMAIL: _____________________________________________________________________________________ NOMINEE:___________________________________________________________________________________ ADDRESS: ___________________________________________________________________________________ TELEPHONE NUMBER: _________________________________________________________________________ Thank you to our Older American’s Month Committee: Paula Clark: ADRC, Lindsay Ternes: The Villa at Lincoln Park, Erika Rooney: Brookdale Senior Living, Dina Cucunato: Right at Home, Ted McMahon: Hospice Alliance, Arely Ortiz: ADRC, Kimberly Butler: ADRC, Donna Menarek: Society’s Assets, Kimberly Christy: The Addison of Pleasant Prairie
Kenosha County Aging & Disability Resource Center
