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Israel a. Shapiro Nomination Form

Israel a. Shapiro Nomination Form

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Published by Watertown Chamber

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Published by: Watertown Chamber on Nov 06, 2012
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11/08/2012

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Nominations for the 61
st
Annual Israel A. Shapiro Citizenship Award
Nominations are now being accepted for the 2012 Israel A. Shapiro Citizenship Award,
 
which ispresented annually by the Greater Watertown - North Country Chamber of Commerce to anoutstanding citizen of the Watertown area. The award was established by Arnold I. Shapiro to honorthe memory of his father, a long time business leader in this community. A director of the Chamberat
the time of his father’s death in 1952, Mr. Shapiro sensed a need in Watertown for a symbolic
annual recognition of exceptional leadership on behalf of our city. Over the years, the award hasbeen presented to many deserving individuals for their contributions and service to our community.You are invited to submit your choice of candidate for this prestigious recognition.The following is the official entry form to be used in submitting the name of your candidate. Newsclippings, photos, and other supporting documents may be added to the form.
THE NOMINATION PROCEDURE:
1.
 
All nominations are to be submitted on the official entry form. The forms may be augmentedwith clippings or other documentary materials. The number of support letters is limited to three(3). Nominations may be male or female.
2.
 
Nominations must be received by the Chamber office no later than
Friday, November 30
 
,2012 at 4 p.m.
3.
 
Entries will be judged by a review board made up of five past recipients of the award. Theirnames will not be made public.4.
 
The review board will meet in December to make their decision and announcement. The awarditself will be formally presented at a dinner tentatively scheduled for Thursday, February 7, 2013.
5.
 
Please enclose a professional photograph of the Nominee and also be prepared to send the photoelectronically should your nominee be selected.
Thank you for participating and acting as a nominator for the 61
st
Annual Israel A. ShapiroCitizenship Award.
 
Sponsored By
 
 
 61
st
ANNUAL ISRAEL A. SHAPIRO CITIZENSHIP AWARDRULES AND PROCEDURES
The official entry form must be used for all nominations for the 2012 Israel A. Shapiro CitizenshipAward. The following rules will be observed:1.
 
The nominee must be a person 18 years or older and must reside in Jefferson County.2.
 
Emphasis will be placed on community activities or involvement by the nominee during thecalendar year of 2012. However, significant accomplishments from past years may be included asadditional supporting evidence.3.
 
The award is made on the basis of outstanding citizenship and/or for outstanding contribution incivic or social welfare activity. Entries will be judged on five key areas:
 
OUTSTANDING CITIZENSHIP
 
ACHIEVEMENT
 
LEADERSHIP
 
DEDICATION
 
MOTIVATION
4.
 
Attention should be directed to those individuals who act in a volunteer capacity, with dedicationand motivation to contribute without any thought of reward. Nominations made for individualswho are in a paid capacity and whose acts or contributions are a part of their employment dutieswill not be considered. The same rule applies to those who are not paid, but an implied obligationexists to perform such acts or contributions.5.
 
There are no posthumous awards.6.
 
The review board has the right to waive the award in any year where it is felt that a suitablenominee has not been presented. The judgment of the review board is final.
Nominations must be submitted no later than 4:00pm Friday, November 30, 2012 to:Israel A. Shapiro Award CommitteeAttn: Michelle Farrell
Greater Watertown - North Country Chamber of Commerce1241 Coffeen StreetWatertown, New York 13601(315) 788-4400Fax: (315) 788-3369E-Mail: events@watertownny.comwww.watertownny.com
 
 
 
61
st
ANNUAL ISRAEL A. SHAPIRO CITIZENSHIP AWARD
 
NOMINATION FORM
Please print or type:
NAME of NOMINEE:HOME ADDRESS:CITY: STATE: ZIP:EMPLOYER:BUSINESS ADDRESS:CITY: STATE: ZIP:TELEPHONE:(HOME) ____________________________(WORK) ___________________________ E-MAIL:_____________________________________________________________________________ OCCUPATION:_______________________________________________________________________ NAME OF PERSONSUBMITTING ENTRY:SPONSORINGORGANIZATION:DAYTIMETELEPHONE:

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