DISTINGUISHED LEADER AWARD
 NOMINATION FORM

DEADLINE EXTENDED
APRIL 20, 2012
Nominations will NOT be accepted after this date.

High resolution photo must be submitted and received before nomination form is accepted.
Send to:
info@alp-leaders.net
We will not contact the nominee.  All awards notification will be sent to the NOMINATOR.

Nomination Fee    $100


QUESTIONS:
 info@alp-leaders.net

 214-587-4538

COMPLETE ONE FORM FOR EACH NOMINATION 

 The Distinguished Leadership Award (DLA) is designed to recognize exceptional community leadership graduates.  Recipients are men and women who have made significant and notable contributions for the betterment of their communities.

DISTINGUISHED LEADER AWARD NOMINATION

NOMINEE NAME

  
Enter name to be engraved on plaque

NOMINEE WILL BE RECOGNIZED

NOMINEE'S TITLE

ORGANIZATION

ADDRESS

CITY - STATE - ZIP

 

PHONE

EMAIL

NOMINATOR NAME

NOMINATOR'S TITLE 

ORGANIZATION

ADDRESS

CITY - STATE - ZIP

 

PHONE

EMAIL

QUALIFICATIONS OF NOMINEE: In 50-100 words, describe why the nominee deserves to receive this award. Please avoid standard listing of titles, board service, etc. State the ways your nominee best exemplifies the spirit, goals and achievements of your leadership program via significant civic accomplishment. This narrative will be published in the 2012 Conference Recognition Book.

 
 
Please enter this number in the field provided. If you do not, you will receive an error message.



STEP 1: CLICK HERE TO SEND AN EMAIL SO WE CAN CHECK YOUR NOMINATION


 



THE ASSOCIATION OF LEADERSHIP PROFESSIONALS

624 W. University Drive  Ste. B289        Denton, Texas  76201         214-587-4538
www.alp-leaders.net ~ info@alp-leaders.net

© 2012 ASSOCIATION OF LEADERSHIP PROFESSIONALS. All rights reserved.