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Celebration of Leadership Nomination

Nominations are now being accepted for the 2012 Celebration of Leadership. 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.

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.

Divisions:	Categories:
Individual	Arts
Business/Organization	Education
Project	Government/Public Service
	Health/Social Services
	Neighborhood/Community
	Environment

Nomination deadline is January 19, 2012.

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

* Required

NOMINEE INFORMATION:
Division *

Category *

Project, Business/Organization Name

Nominee First Name *

Nominee Last Name *

Nominee Address

Nominee City

Nominee State

Nominee Zipcode/Postal Code

Nominee Work Phone Number *

Nominee Home Phone Number

Nominee Email Address *

Provide a one to two sentence overview of your nominee: *

How has the nominee made a commitment to bettering the community? *

How has the nominee inspired others to a common vision? *

How does the nominee practice collaborative leadership? *

How does the nominee embrace diversity? *

How has your nominee gone above and beyond the call of duty to impact the community beyond the normal job duties? *

NOMINATOR INFORMATION:
Title

First Name *

Last Name *

Email Address *

Work Phone Number

Work Address

City

State

Zipcode/Postcode

Country

CALENDAR OF EVENTS

February 16, 2012 – 5:30 PM - 8 PM
2nd Thursday Alumni Gathering - Rescheduled to 3rd Thursday
Acropolis

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March 15, 2012 – 6 PM - 8 PM
17th Annual Celebration of Leadership
The Centre - Downtown Evansville

February 7 - 9, 2012 – 8:30 a.m. - 4:00 p.m.
February 2012 Retreat
Barn Abbey, New Harmony, IN

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April 24, 2012 – 4 P.M.
Full Board Meeting
TBA

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