South Carolina 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 DEVELOPMENT SERVICE TO AREA COUNCIL
The individual is responsible for financial contributions The 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: 5:00 PM-EST, September 1, 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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