EmailMe Form - MNWT Presidential Pin Nomination

MNWT Presidential Pin Nomination

Responses to the online form will be viewed by the MNWT State President three (3) weeks prior to state meeting. Include only offices, project worked, certifications completed, and information relating to the current year's activities. Be specific. Use of facts, numbers, and percentages will give a clear picture of the nominee's accomplishments.

Upon completion of the form, click Submit; you will receive a confirmation screen if your form has been successfully submitted. (rev 2020)

Nominee Information
Nominee Name *
First Last
Number of Years a Member *
District *
Chapter *
Address

Street Address City State / Province / Region Postal / Zip Code
Nominee Attributes/Accomplishments
Please complete the following to the best of your ability in order to better the chances of your nominee receiving the award.
Number of New Members signed by Nominee this year
Local Position(s) & Impact *
Enter the local officer/program manager position(s) the nominee holds for the current year; and describe the impacts or differences made while serving in each position listed; enter "n/a" if this is not applicable
District Position(s) & Impact *
Enter the district officer position(s) the nominee holds for the current year; and describe the impacts or differences made while serving in each position listed; enter "n/a" if this is not applicable
State Position(s) & Impact *
Enter the state officer position(s) the nominee holds for the current year; and describe the impacts or differences made while serving in each position listed; enter "n/a" if this is not applicable
National Position(s) & Impact *
Enter the national officer position(s) the nominee holds for the current year; and describe the impacts or differences made while serving in each position listed; enter "n/a" if this is not applicable
Projects Worked & Chaired *
List projects and events nominee was involved with or chaired and note the key role of the nominee in each project/event listed.
Summary Statement *
List at least 3 specific reasons why the nominee is deserving of this award. Include examples of the nominee’s accomplishments this year.
Presentation Location *
Indicate if there is a specific convention or meeting where you would like the award presented
Submitter's Information
Submitter Nominator Name *
First Last
By entering your name, you attest that all information provided in this nomination is reliable and true to the best of your knowledge.
Date Submitted
MM / DD / YYYY
Your Email *
Phone
### - ### - ####

Nominee Information

Nominee Attributes/Accomplishments

Submitter's Information