ROTARY CLUB OF TACOMA #8
2016 COMMUNITY SERVICE AWARD
NOMINATION FORM
Return the completed form to the Rotary office by fax (253 473 7838) or email () by Thursday, March 3, 2016. The 2016 Community Service Award will be presented at the Thursday, April 7, 2016, Tacoma 8 Rotary meeting.
Individual Being Nominated:Name:______
Business
Phone:______
Company:______
Business Address:______
______Zip:______
Email: ______/ Submitted By:
Name:______
Business Phone:______
Email: ______
1. Please summarize the overall contributions of this individual to the community. For example: volunteer service; membership on boards; offices held; involvement in coalition or advisory groups, civic committees, task teams, etc.
2. What is the specific nature of the Community Service performed for which you are nominating this individual for this award?
3. Please describe why you think this person should receive the Community Service Award. Please indicate how this individual exemplifies the Rotary ideal of “Service Above Self”.
4. If relevant and you have it, please provide additional background information about the person being nominated.
Working history (i.e., employers and positions)
Education history (i.e., schools attended, degrees, awards, etc.)
Other information the helps to illustrate the nature of their Community Service.
5. Other awards and/or honors received by this individual?