Outstanding Service Nomination

OUTSTANDING SERVICE NOMINATION:  Completing the following questionnaire will further help ensure that the nominee is eligible for this category and will serve as the award nomination. Supporting material should be attached to this form.

Contact Information:

Questions:

1. Is the nominee a current member of the Society?

[ ] Yes 
[ ] No (If no, the nominee is NOT eligible for this award)

2. Is the nominee a Fellow?

[ ] Yes (If yes, was this honor received within the past 5 years?)
[ ] Yes (If yes, the nominee is NOT eligible for this award.)
[ ] No

3. Has the nominee performed distinguished service to the Society for at least 10 years?

[ ] Yes (If yes, please describe to adequately substantiate the nomination.)
[ ] No (If no, the nominee is NOT eligible for this award)

4. Describe the nominee’s service to the Society.

5. Briefly explain how the nominee’s service(s) relates to the Society’s mission. 

The supporting material should include:

•  A maximum limit of 10 pages for nomination narratives.  We suggest using Times New Roman 12 point, 1.5 line spacing and margins equal to or greater than .75 inches on all sides
• The supporting material must clearly document the above criteria, including such items as length and continuity of membership; time span during which the distinguished service was rendered; offices, committee, and other positions held at the chapter and international levels; attendance at chapter and national meetings; and other information, in narrative form, identifying the services rendered to the Society, as deemed appropriate under the award criteria.
• The nominees Professional Curriculum Vitae must accompany the Award Nomination Questionnaire(maximum limit of 20 pages – we suggest using Times New Roman 12 point, 1.5 line spacing and margins equal to or greater than .75 inches on all sides).

The Award Nomination Questionnaire and supporting material may be emailed to: awards@swcs.org. If emailing, you  may fax the signed petition to 515-289-1227. You may also submit the Award nomination by US Postal Service (1 copy only) to: SWCS-Awards, 945 SW Ankeny Rd., Ankeny, IA 50023. All nominations must be received by February 12. All forms of submission will receive a conformation of receipt. Late nominations will not be considered.