CRISCUOLI VOLUNTEER LEADERSHIP AWARD

Part I – Nominee

Name ______

Membership Number ______Year joined ASIS ______

Current ASIS Chapter ______

Part II – Leadership Contributions (Please use additional sheets if necessary)

Chapter Level (List each year served) POINTS

1. Chairman

(25 points per year) Chapter name, years held office

2. Vice Chairman

(15 points per year) Chapter name, years held office

3. Secretary

(10 points per year) Chapter name, years held office

4. Treasurer

(10 points per year) Chapter name, years held office

5. Committee Chairman

(5 points per year) Chapter name, years held office

6. Committee Member

( 2 points per year) Chapter name, years held office

TOTAL NUMBER OF CHAPTER LEVEL POINTS _____

Note: All points must be verifiable by reconciliation with the Chapter Officer Questionnaires submitted to ASIS HQ each year by the chapter, for the years of service in which credit is claimed above. Refer to Policy 7008 for details.

Regional Level (30 points maximum) POINTS

1. SRVP ______

(10 points)Region number, year held office

2. RVP ______

(10 points)Region, year held office

3. ARVP ______

(10 points)Region, year held office

TOTAL NUMBER OF REGIONAL LEVEL POINTS ______

Part III – Written Presentation (REQUIRED)

Please attach a written narrative to this nomination form detailing the significant volunteer contributions of the nominee, which are deserving of this recognition and which would make the nominee a worthy recipient. The written narrative should be no less than 1,000 words and not to exceed 2,000 words. Please use the attached sample letter as a reference.

(This may be completed by either the nominee or a submitter.)

Signature______Date______

Part IV – Verification – To be completed by Manager, Membership & Regional VP Relations. This is to certify that the information contained in Part II above has been verified thorough records at Headquarters, contacting volunteer leaders or other available members unless listed to the contrary below.

Reason Unverified (if necessary)______

Verified by signature below:

Signature ______Date______

Manager, Membership & Regional VP Relations

Completed form should be addressed to: Matthew W. Mantione

Manager, Membership & Regional VP Relations

ASIS International

1625 Prince Street

Alexandria, VA 22314

Awards Committee Only

VOLUNTEER LEADERSHIP POINTS ______

WRITTEN PRESENTATION POINTS ______

GRAND TOTAL POINTS ______

Please send both pages of the Form

Due at Headquarters by May 15th

Fax: 1.703.519.6298

DATE

Awards Committee

ASIS International

1625 Prince Street

Alexandria, VA 22314

RE: CRISCOULI AWARD WRITTEN PRESENTATION – Nominee’s Name

First paragraph – Nominee – This section should introduce the nominee to the committee and include pertinent personal facts – Name, year joined ASIS and current ASIS chapter. It should include a brief synopsis of the nominee’s qualifications for the Criscouli Volunteer Leadership Award.

Second and subsequent paragraphs – Accomplishments - This section should detail the nominee’s leadership accomplishes for each position held (all chapter level positions and regional level positions if applicable). The winner of the Criscouli Award not only held leadership positions but excelled at those positions. There should also be detail of all committee participation.

Conclusion – The letter should conclude with a statement of endorsement.

Sincerely,