Nomination Form

Person(s) being nominated:

First Name:
Last Name:
Company:
Address:
City: State: Zip:
Telephone:
E-mail:

Person submitting the nomination:

Name:
Company:
Address:
City: State: Zip:
Telephone:
E-mail:

Catagory

Banks/Financial Services	Insurance	Accounting
Marketing/Advertising/Design	Legal	Commercial Real Estate
Management Consulting	Employment/HR	Information Technology
United Way of GLV Community Service Award (see below for specific criteria for this award)

Criteria nomination shall address a minimum of two of the following criteria:

Demonstrates a higher standard of quality of service for the service category	Savings of significant resources (human or financial) due to the effort/project.	Horsepower (the energy, expertise and resources to get the job done)
Innovation

Names and contact details for two (2) references who may be contacted to support this nomination.

Reference 1:

Name
Phone Number
E-mail

Reference 2:

Name
Phone Number
E-mail

Please present statements and supporting examples/case studies that specifically address the criteria. This section shall be no more than 1,000 words.

A 200-word statement summarizing why the nominee(s) would be worthy of the award. (smaller box for typing info)

United Way of GLV Community Service Award
This special United Way award is open to individuals or teams from these same eight categories who have provided significant benefit to the community through a contribution of services to a non-profit human services organization serving the Lehigh Valley. Applications shall address the following criteria:

The outstanding values/benefits of the contribution to the non- profit

Innovation in addressing the non-profit's needs

True, "grass-roots" engagement with the non-profit.

Questions? Call 610-863-7338

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