CORE Champion Nomination Form

 

CORE Champions Award Nomination Form

 

Commit ~ Optimize ~ Reinvest ~ Equip

 

 

 

Please indicate the award (one only) for which you are submitting a nominee for consideration:

 

 ___    Outstanding Young Alumni                          ____ Outstanding Patron Award

 

___     Distinguished Alumni                                               ____  Distinguished Service

 

Please attach the following documentation for nominees listed in either award category:

 

  1. Resume

  2. Additional substantiating information if available (web links or web pages, etc.)

  3. Letters of support from others (at least 1; no more than 3)

 

 

 

Nominee:  __________________________________  Phone: _________________

 

Address:   __________________________________________________________

 

City:  ____________________________    State: ______          Zip: ___________

 

Email Address:  ______________________________________________________

 

If nominee has a website, please provide URL:  _________________________________

 

If the following information is included on the nominee’s attached resume, or referenced within addition substantiating information (web links, web pages, etc.), you do not need to copy that information into the spaces provided below and on the pages that follow.

 

Education:  _________________________________________________________

 

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Current Professional Position:  ___________________________________________

 

Professional Credentials:  _______________________________________________

 

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Community Involvement:  _______________________________________________

 

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Recognition (Local, State, National Levels):  ___________________________________

 

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Career Contributions – Outstanding or distinguished contributions to their professions or chosen fields of endeavor or for distinguished human service to their community:  ________

 

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What makes this individual exemplary – what makes him/her a “Champion” who is more noteworthy than other individuals in a similar position?

 

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Complete this section for Distinguished Service Award or Outstanding Patron nominees only:

 

How has this business or individual shown exemplary service to Greeneville City Schools through involvement with students, volunteer service, or financial support?

 

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ALL SUPPORTING DOCUMENTATION MUST ACCOMPANY COMPLETED NOMINATION FORM.  Deliver GCS Education Foundation, Attn.: Amanda Waddell, 129 W. Depot Street, Greeneville TN, by January 8th, 2015 – or mail to P.O. Box 1420, Greeneville, TN 37744-1420.  Mailed entries must be postmarked no later than January 4th, 2015.   For more information, contact Amanda Waddell, 423-823-8001.

 

Nominator Information

 

  

 

Name (print):  ____________________________________  Date:  ______________

 

Email:  _________________________________________  Phone: _____________