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President’s Award
President’s Award
President's Award
Please include a short vita, which includes LDA and community involvement, and a letter of recommendation describing why this person has been selected to receive this award. Award winners and persons making the nominations will be interviewed for an article on our award winners to be included in the fall issue of LDA/IL’s newsletter, Scope. Please include the following information: • Why does LDA/IL present this award? • What is special about this person? What qualifies this person to win this award? • LDA/community involvement: What, with whom, approximately when, why the nominee got involved. • A short story about the person being recognized. (Be descriptive: e.g., “I remember when...” “(S)he’ll never be forgotten because...” etc. • Names and telephone numbers of people who also can relay stories or, better yet, could write about the person selected.
Name of Nominee
*
First
Last
Title/Position
*
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
*
Work Phone
Submitted by LDA/IL President:
*
First
Last
Phone
Work Phone
File
Following the conference, send nomination form, short vita, and letter of recommendation to Newsletter Editor.