Chapter Service Award

Please use this form to complete your nomination. Nominators should complete Sections I - V and submit the nomination by the deadline. (These materials may be reproduced and distributed freely.)

Purpose and Overview

• Each year, AGA presents crystal awards to recognize individuals who have made contributions to AGA chapters. AGA presents one award per chapter membership grouping.
• The award recognizes service to a chapter. National committee work and/or holding of a National office are not factors in consideration for this award. Eligible nominees will have made consistently important contributions to the development and enhancement of a chapter, and distinguished or spectacular contributions to a chapter during the year of the nomination. These would be individuals who, for example, played a key role in establishing new chapters, revitalizing old chapters, developing innovative programs, promoting significantly increased attendance and participation, bringing substantive recognition and credit to chapter activities, or substantially improving communications with chapter members.
• Nominations must be made by AGA chapters. AGA Chapters are limited to one nomination that must be endorsed by an authorized Chapter representative.
• The award will be presented by the AGA at its Annual Professional Development Conference and Exposition.

Nomination

1. Nominee Information

   1. Formal name with designations (i.e. CGFM, CPA, etc.) as it might appear on an award
   2. Title
   3. Current Employer
   4. Full address
   5. Phone number and email

2. Criteria and Evaluation

   The National Awards Committee will use the following criteria to evaluate and rank nominees. Therefore, for each key factor listed below, describe in specific terms, the work or contribution that justifies the nomination.

   • Extent of chapter contributions (worth 60 points).
   • Chapter offices held (worth 30 points).
   • Length a chapter member (worth 10 points).

3. Biographical Sketch of Nominee

   List the nominee's education and any other pertinent background information that will assist in evaluating the nominee's achievements. Include length of AGA membership, length of time nominee has participated in the nominating chapter, and length of time nominee has participated in other chapter affiliations.
    

4. Citation

   For use as the formal award citation, succinctly (using two or three sentences) describe the highlights of the accomplishments, particularly impact and results.
    

5. Nominator Information

   1. Full address of nominator (AGA will send you a copy of our letter to the nominee.)
   2. Phone Number and Email Address (in case we have questions about this package)
   3. Are you representing an AGA Chapter? ____ Yes, the __________________ Chapter ____ No
   4. Signature: ______________________________________________________
   5. Your AGA chapter leadership position, if applicable _____________________________________

How to Prepare and Submit Your Entry

• Please use this form to complete your nomination. Nominators should complete Sections I - V and submit the original nomination by the deadline. (You do not have to send copies of the package.)
• The Microsoft Word version of this form are available online at http://www.agacgfm.org/membership/awards/.
• Please take care to ensure your nomination is a complete document and includes all the information requested. Do not submit several nominations bound by one cover letter that contains contact information - EACH nomination should be a stand-alone document.
• Electronic submissions should be ONE file, i.e. please do not send the description of accomplishments separate from the nominee's bio. Include all information in one e-file.
• Nominations may be submitted electronically, by fax, by mail, or in person.
• Include a high-resolution .JPG photo file of the nominee.
• File your submission by the deadline indicated below.
• Electronic nominations do not require original signature.

Deadline

• The original nomination package must be received by 5:00 pm Eastern time on Friday, April 13, 2012.
• Late nominations will be encouraged to resubmit the following year - they will not be returned.
• All applicants will be notified of the National Awards Committee's decision approximately 4-5 weeks after the deadline.

Submit Your Entry To

All nominations should be submitted to the attention of Louise Kapelewski, AGA National Awards Committee Staff Liaison.

• Electronically: lkapelewski@agacgfm.org
• Fax: 703.548.9367
• Mail: 2208 Mount Vernon Avenue, Alexandria, VA 22301-1314
• Phone: 800.242.7211, ext. 321

Thank you for helping us pay tribute to the best and brightest!