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.

Individual Nomination

 

Individual First Name (required)

Individual Last Name (required)

Individual Address (required)

Individual City (required)

Individual State (required)

Individual Zipcode/Postal Code (required)

Individual Phone Number (required)

Individual 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 Individual made a commitment to bettering the community? (required)

How has the Individual inspired others to a common vision? (required)

How does the Individual practice collaborative leadership? (required)

How does the Individual embrace diversity? (required)

How has your Individual 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 Individual. (required) Max 1000 characters

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