Board Member of the Year Award

Florida Area Council

Board Member of the Year Award

Nominee Entry Form

This award is given to Board/Council member with three or more years of service on a local governing body.

Please type in the yellow areas provided. Double click the appropriate yellow boxes (menu will appear to check the box).

NOMINEE INFORMATION

Nominee Name: / Date:
Club Affiliation: / Length of Board Membership:
Nominee Company: / Nominee Work Title:
Nominator Name: / Nominator Title:

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BOARD PARTICIPATION

The individual is in attendance at the following percentage of regular board meetings:

__ 0%__60%

__ 20%__ 70%

__ 30%__80%

__40%__90%

__ 50%__ 100%

COMMITTEE SERVICE

The individual has served on the following committees:

__ Executive

__ Board Development

__ Resource Development/Finance

__Human Resources

__ Marketing & Communications

__ Property Management

__ Program

__ Other (please list):

______

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LEADERSHIP

The individual has held the following offices:

Office Held:Dates Held:

RESOURCE DEVELOPMENTSERVICE TO AREA COUNCIL

The individual is responsible for financial contributionsThe individual has served the Area Council in

to the Boys & Girls Club at the following level:the following capacity:

__$0 - $5,000__ $25,000 - $50,000__Chair__Liaison

__$5,000 - $10,000__$50,000 - $100,000__Vice-Chair __Committee Member

__$10,000 - $25,000__Over $100,000__Secretary __Committee Chair

__ Treasurer __Other (Attendee)

B&GCA EDUCATION AND TRAINING

The individual has participated in the following:

__BoardRoom Training__Presenter at Conferences

__Area Council Annual Meeting__ Board Roundtable Facilitator

__ Board Leadership Conference__Promotion and marketing of local organization and/or BGCA

__National Conference__Other (Please describe):

______

Nominee Narrative

For each question, please begin typing or paste your copy in the yellow spaces provided.This document will add and number pages as needed.

IMPACT ON BOYS & GIRLS CLUB

Please describe the immediate impact of this individual's involvement with your Boys & Girls Club:

COMMUNITY RELATIONS

Please list other service groups or agencies with which the nominee is involved. How have these affiliations helped your Boys & Girls Club?

ADDITIONAL INFORMATION

Please list any other pertinent information you would like to share concerning the nominee’s Club service, awards received, personal or family information, college attended, etc.:

How To Enter

Email award nominations to Ludna Pierre at:

Deadline for submission is: 4:00 PM-EST, July 28, 2017

Award Entry Support Documents

You may include any support documents in this document within the limits described below. This is not a requirement for submission; however, include these documents if it will help support your nominee.

ATTACHMENTS MUST BE INCLUDED WITHIN THIS DOCUMENT!

• Scan or save all attachments as JPEG or GIF files and paste on to the last pages of this document.
• The final MS Word or PDF award entry file cannot exceed 9MB.
• The BGCA email system can only accept 9MB of total attachments per email, so you may need to send your entries attached to several emails.

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