Celebration of Leadership Nomination

Please use the nomination form below. The format of the nomination form may change at the discretion of the Leadership Evansville Board of Directors. All nominators will be contacted in the case of a change to the nomination form.

Deadline for 2017 nominations is Saturday, January 21, 2017.

Nomination Instructions: Volunteer or professional leadership nominations may be made in three divisions. Each division has six categories. Only individuals are considered for the Jefferson Award. Nominating yourself, business/organization, project is encouraged. Awards may be presented in each division and each category.

3 Divisions: Individual, Business/Organization, Project

6 Categories: Arts, Community & Neighborhood, Education, Environment, Government & Public Service, Health & Social Services

Nominations must be thorough and complete. If you need assistance, please contact the LE office at 812.425.3828.

Upon submitting a nomination, a confirmation email will be sent to the nominee and nominator.

Business/Organization Nomination

 

Business or Organization Name (required)

Contact First Name (required)

Contact Last Name (required)

Contact Address (required)

Contact City (required)

Contact State (required)

Contact Zipcode/Postal Code (required)

Contact Phone Number (required)

Contact Email (required)

Your First Name (required)

Your Last Name (required)

Your Address (required)

Your City (required)

Your State (required)

Your Zipcode/Postal Code (required)

Your Phone Number (required)

Your Email (required)

How has the Business/Organization made a commitment to bettering the community? (required)

How has the Business/Organization inspired others to a common vision? (required)

How does the Business/Organization practice collaborative leadership? (required)

How does the Business/Organization embrace diversity? (required)

How has your Business/Organization gone above and beyond the call of duty to impact the community beyond the normal job duties? (required)

Provide a one to two sentence overview of your Business/Organization. (required) Max 1000 characters

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