Nomination Form – Chapter Special Achievement Award

Purpose and Overview

The Chapter Special Achievement Award will be given to an AGA MPG County Chapter member who has gone above and beyond this year.

Nomination

Nominee Information

First name:
Middle name:
Last name:
Designation:
Title:
Employer:
Email:
Phone:

Criteria & Evaluation

Nominees must have a record of active participation in AGA activities and/or programs at the chapter and national level to be considered for this award.

  1. Major contributions to advancing government accountability
  2. Record of active participation in AGA activities/programs over a sustained period of time at the chapter and national level
  3. Enhanced AGA's prestige and stature

Nominator Information

First name:
Last name:
Title:
Employer:

Please provide email address and telephone in case we have questions about your nomination package and to notify you of the Awards Committee’s selection.

Email:
Phone:

If you are representing a governmental unit or an AGA Committee, please name the entity and provide your title as authorized representative.

Entity:
Your Title:

Deadline

Please monimate someone by April 18, 2025.