2002 Gold Pan Awards
Nomination Form
The Anchorage Chamber of Commerce is seeking nominations
for the 2002 Gold Pan Awards. The
5 p.m.
,
Awards:
Gold
Pan Award for Distinguished Community Service by a Business
Gold Pan Award for Distinguished Community Service by an Individual
Gold Pan Award for Distinguished Community Service by an Organization
Gold Pan Award for Outstanding
Gold Pan Award for Premier Service to Youth by an Individual, Organization or
Business
Completing the form:
One page of additional information may be added.
Other materials will not be considered in the selection process.
Please provide information that demonstrates the qualities specific to
the award for which nominated. Type
or print clearly. (This form may
also be e-mailed or accessed via the Anchorage Chamber of Commerce Web site at www.anchoragechamber.org)
The process:
A selection committee will review all nomination
forms and select finalists in each category. A separate judging committee will
select the winners from those finalists.
The finalists will be publicized prior to the date of the 2002 Gold Pan Awards banquet September 28. The winners will be announced at the banquet.
Nominee
name_________________________________________________________________________________
Title or
position_________________________________________________________________________________
Company/business_____________________________________________________________________________
Business
address________________________________________________________________________________
City, state &
zip_________________________________________________________________________________
Phone______________________________
E-mail__________________________________________________
Nominator
name_______________________________________________________________________________
Address_______________________________________________________________________________________
Phone___________________________ E-mail______________________________________________
Deadline for
submission:
Please
choose the award category for which you are making a nomination:
______
Gold Pan Award for Distinguished Community Service by a Business
______
Gold Pan Award for Outstanding
______
Gold Pan Award for Distinguished Community Service by an Individual
______
Gold Pan Award for Distinguished Community Service by an Organization
______
Gold Pan Award for Premier Service to Youth
by an Individual, Organization
or Business
Please
complete the following: (One
additional sheet may be attached).
1.
Provide specific examples of how the nominee has demonstrated service in
the award category beyond
2.
Describe community service participation, recognition and achievements;
include length of service and
3.
List awards and honors received which may support this nomination.
4. Discuss briefly any additional factors you feel are important for consideration of your nominee for the Gold Pan Award.
Return
completed form to:
Anchorage
Chamber of
Commerce
441 W. 5th Ave., Suite 300
Phone:
272-2401 Fax: 272-4117
E-mail: info@anchoragechamber.org