2016 HONOREE NOMINATION FORM

Nominator Details
First Name:_________________________________

Last Name:__________________________________

Address Line 1: ______________________________

Address Line 2:_______________________________

City/State:____________________

Zip Code:___________

Contact Phone:_______________________________

Relationship to Nominee:___________________

E-Mail:______________________________________

Organization/Company:___________________________________________________________________________
Job Title:________________________________________________________________________________________

Honoree Nomination Details

Full Name of Nominee:____________________________________________________________________________
Field(s) of Achievement:______________________

Current Occupation/Title:______________________________

Asian Pacific American Heritage (countries represented):__________________________________________________

Address (if known):________________________________________________________________________________
City/State/Zip Code:__________________________________________________________________________
Contact Phone (if known):_________________________

E-Mail (if known):________________________________

Are you able to contact the nominated honoree on behalf of the Robert Chinn Foundation (yes or no)? ___________
Tell us more about his/her accomplishments (attach additional pages or link any relevant online sources, as necessary):
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
Other Awards and Recognitions:
_________________________________________________________________________________________________
_________________________________________________________________________________________________
Community Service:
_________________________________________________________________________________________________
_________________________________________________________________________________________________
Nominations must be submitted by Tuesday, September 1, 2015 (5:00pm Pacific) for consideration. Submit completed nomination
forms by e-mail to contact@asianhalloffame.org or by mail to:
Robert Chinn Foundation
Asian Hall of Fame Honoree Nomination
P.O. Box 14084
Seattle, WA 98114-0084

2015 HONOREE NOMINATION FORM

Honoree Criteria
MANDATORY CRITERIA Required for consideration
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Actions of the nominee must positively reflect Robert Chinn Foundation values and have improved, in a
positive manner, the nations civic, cultural, educational quality of life for all Asian Pacific Americans while
contributing to the American experience.
A United States citizen of Asian or Pacific Islander descent. Those of mixed heritage are eligible to be
nominated.
Demonstrated an historic achievement or precedent in the experiences of Asian Pacific Americans.
Demonstrated significant achievement in the field of which they have been honored.
Selection is irrespective of future, current or past contributions to the Robert Chinn Foundation.
Honorees must be available to be honored at the Asian Hall of Fame awards in June 2015.
In case of posthumous awards, close family members must be available to accept the Asian Hall of Fame
award on the honorees behalf.

AUXILLARY CRITERIA
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Honorees must serve to do public relations, projects and visits benefitting the community, the Asian Hall of
Fame, and the Robert Chinn Foundation.
Honorees agree to give rights to their images and likenesses for the purposes of being honored at the
Asian Hall of Fame.

PROCESS
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Input on nominees will be taken from the community at-large, staff, Robert Chinn Foundation Board and
those advising the Asian Hall of Fame Committee.
Staff, with cooperation of volunteers or the Asian Hall of Fame Committee, will then compile candidates to
be selected by the Robert Chinn Foundation Board of Directors.
The Robert Chinn Foundation Board of Directors selection is final.

TIMELINE AND CONFIRMATIONS

The Robert Chinn Foundation or representative will confirm receipt via e-mail of any submitted nomination forms. The
honoree selection process will be ongoing throughout the fall as candidates are contacted. The Robert Chinn Foundation will advise the nominator of the outcome of his/her nomination either prior to contacting the nominated honoree
or at the conclusion of the recruitment process.