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online nomination form

No self-nominations will be accepted.

Note: You cannot save your work and if you hit the back button all responses will be lost. Therefore, we strongly recommend that you download the form, complete it offline and return to cut/paste your answers into the online form for submission.

Nominator Information
(Legend: * = Required)

*First Name
*Last Name
*Job Title
*Company
*Street Address
*City
*State/Province
*Zip/Postal Code
*Country
United States
Canada
*Phone
*E-mail
*Relationship to Nominee

Nominee Information
(Legend: * = Required)

*First Name
*Last Name
*Job Title
*Company
*Street Address
*City
*State/Province
*Zip/Postal Code
*Country
United States Canada
*Phone
*E-mail
How did you hear about the award?


Please answer each question below and provide specific examples. Nominations that lack at least one specific example for each question below may be disqualified. The selection committee will weigh each section equally. Each answer is limited to 500 words.

Green Line

Question How does the nominee demonstrate a commitment to continuing professional development and education? Please provide examples.

  • Actively seeks information sources and utilizes multiple modes of learning, from traditional classroom seminars to online workshops
  • Holds a CPS, CAP or other professional certification
  • Holds an association(s) membership(s)
  • Participates in or attends educational conferences

 

Click to see a short example from a winning nomination form.

Green Line

Question How does the nominee demonstrate his/her ability to contribute to the operational efficiency of the company? Please provide examples.

  • Takes the initiative to develop innovative solutions to challenges and problems
  • Demonstrates technical aptitude, i.e. willingness to be an early adopter of new devices, researches the best technology solutions for an organization
  • Perceives the links among people, data and ideas, and uses these ties to work more effectively
  • Communicates effectively with others at all levels of the organization

 

Click to see a short example from a winning nomination form.

Green Line

Question How does the nominee show a strong commitment to leadership within his/her organization? Please provide examples.

  • Establishes rapport and facilitates team-building with people on-site and off
  • Manages relationships by accurately identifying and responding to preferred work styles and personality traits
  • Has received award distinctions or other forms of recognition for leadership
  • Is a committee leader or sole administrative participant on a committee
  • Effectively demonstrates work/life balance

 

Click to see a short example from a winning nomination form.

Green Line

Question What meaningful contributions has the nominee made to his/her organization?

  • Researches and evaluates information and makes recommendations in line with manager’s, department’s, or company’s strategic objectives.  Anticipates operational challenges and makes recommendations.
  • Negotiation: uses tact, diplomacy, empathy and business savvy to engage in productive discussions with vendors and employees that result in positive outcomes
  • Improves processes (e.g. develops new filing systems, communication processes, etc.) and produces tangible results


Click to see a short example from a winning nomination form.


Green Line

*I have read and accept the Terms of Use. Once the online form has been submitted, changes cannot be made.

 

 
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