Rotary Club of Green Bay Community Leadership Award

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Nominating Criteria

Please note that individuals representing an organization that has won the Rotary Club of Green Bay Community Leadership Award within the past five years are not eligible.

Nominations will be evaluated on the professionalism and quality of information as demonstrated in the submittal.

Successful nominees meet the following criteria:

• Serve as Leader of an organization (i.e. owner, co-owner, President, CEO, Executive Director, Director, etc.); or have been a Leader within the previous 24 months
• Represent a for-profit or non-profit organization
• Organization must have an office in Brown County
• Organization has $15 million or less in annual sales or 5 - 99 employees

Requirements:
Demonstration of how the nominee has helped:

• Show leadership within Brown County
• Show leadership within the nominee's own industry
• Excel at growth (financial and/or other) and job creation for the organization and/or community
• Follow Rotary’s “Four-Way Test” relating to truthfulness, fairness, goodwill and ethics

Nominations:
To be considered, nominations must be submitted in the form provided below, and must be received by the Rotary Club of Green Bay no later than 5:00 p.m. (CST), December 15th, 2011.

Members of the Selection committee cannot submit nominations.

As a primary part of the nomination, we request that the nominator fully complete the nomination form, including these three questions (please limit each answer to 200 words). Responses should reflect Rotary’s “Four-Way Test” relating to truthfulness, fairness, goodwill and ethics.

• How has the nominee demonstrated leadership in the community and shown “Service Above Self?”

• How has the nominee demonstrated a vision for his/her organization, community, and his or herself that distinguishes them from others?

• How has the nominee expressed a sense of commitment to his/her community that has enabled employees and others to volunteer and grow the community?

The winner will be selected and notified by January 9th, 2012. The Award winner will receive Rotary International’s distinguished Paul Harris Fellow ($1,000 value) at the Rotary Club of Green Bay’s meeting on February 20th, 2012 at the Hyatt on Main.

Rotary Club of Green Bay Community Leadership Nomination Form

Deadline for nominations is 5:00 p.m. (CST), December 15th, 2011.

Nominee Name
Title
Organization Name
Address
City	State       Zip
Phone
Nominee Email
Submitted By
Submitter Email
Confirm the organization has $15 million or less in annual sales or 5 - 99 employees by checking one or both of the boxes below (infomation will be confirmed with successful nominee).
$15 million or less in annual sales	5 - 99 employees
For-profit organization	Non-profit organization
Provide succinct information demonstrating how the nominee has achieved the following:
Shown leadership in Brown County
Shown leadership within the nominee's own industry
Excelled at financial growth and job creation for the organization and/or community
Followed Rotary's "Four-Way Test" relating to truthfulness, fairness, goodwill and ethics.   Please answer the following questions on a separate sheet (each answer is limited to 200 words). Responses should reflect Rotary's "Four-Way Test" relating to truthfulness, fairness, goodwill and ethics. 1. How has the nominee demonstrated leadership in the community and shown "Service Above Self?"  2. How has the nominee demonstrated a vision for his/her organization, community, and his or herself that distinguishes      them from others?   3. How has the nominee expressed a sense of commitment to his/her community that has enabled employees and others to      volunteer and grow the community?     Security Code:

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