“CONFIDENTIAL” NOMINATION FORM
Rotary Club of Glenview-Sunrise
Annual “Paul Harris Fellow” Award
Installation Dinner
Nominations for the Rotary Club of Glenview – Sunrise “Paul Harris Awards” must be submitted by an active club member, reviewed by the Board, be endorsed by the Club membership and must have met the criteria described below. (Nominees and recipients may not be active Rotarians).
Eligibility criteria: Nominees must be residents of the community who are age 21 years or over and whose life has demonstrated a commitment to the purpose of Rotary and exemplifies the principles of Rotary’s Four Way Test, as evidenced by the following judging criteria:
Outstanding leadership within the community.
Exceptional and meritorious service within the community.
Personal commitment to the principles of Rotary.
Selection criteria: Based on the nomination forms submitted, the Board shall review the manner in which nominees have attained their level of personal achievement and the extent to which they have given leadership and special service to others in the community. Final nominee selections shall be presented to the club for approval prior to notification.
NOMINEE DETAILS: (please use CAPITAL LETTERS if hand writing)SURNAME: / GIVEN NAME: / Or PREFERRED NAME:
SEX: MALE ¨ FEMALE ¨
ADDRESS:
STATE: / POST CODE:
PHONE (H): / PHONE (B): / FA X:
*** (Please submit all information available. Do not notify the nominee).
PROPOSER DETAILS: (please use Capital letters if hand written)
SURNAME: / GIVEN NAME:
ADDRESS:
STATE: / POST CODE:
PHONE (H): / PHONE (B): / FA X:
Rotary Club of Glenview – Sunrise, P.O. Box 382, Glenview, Illinois 60025
PERSONAL ACHIEVEMENTS OF NOMINEE:
A “Paul Harris” nominee may be nominated for many reasons including over-all performance or a single achievement. Please write a narrative paragraph, which explains the rationale for your nomination. You may wish to include: specific reason(s) for nomination, community and/or church activities, academic achievements, other distinctions, and any other information as seems relevant to your nomination.
MEMBERSHIP IN COMMUNITY GROUPS:
(Include: Name of group; Length of Membership; Contact details and major focus of group)
HISTORY OF COMMUNITY ACHIEVEMENTS AND CONTRIBUTIONS:
OTHER SPECIAL ACHIEVEMENTS AND AWARDS:
PROPOSER'S SIGNATURE: / DATE:
NOMINATION CLOSING DATE: April 1
All nominations should be sent to: Wendy Thornton -
Foundation Chairperson, Rotary Club of Glenview Sunrise,
(Confidential – Not for Public Discussion)