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Chamber Taking Nominations for ATHENA Award
The Washington County Chamber of Commerce is currently accepting applications for the 2010 ATHENA Award.
Please use the application below. Call the Chamber office at 724.225.3010 with any questions.
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Please carefully read the following information before completing the Nomination Form.
Instructions:
The ATHENA Award Program celebrates the potential of all women as valued members and leaders of the community and recognizes those who support them. The ATHENA Award honors individuals who strive toward the highest levels of professional accomplishment women and men who excel in their chosen field, have devoted time and energy to their community in a meaningful way, and who also open paths so that others may follow.
THE CRITERIA
ATHENA recipients must meet each of the following specific criteria:
• Assist women in reaching their full leadership potential;
• Demonstrate excellence, creativity, and initiative in their business or profession;
• Provide valuable service by devoting time and energy to improve the quality of life for others in the community;
• Live or work in Washington County;
• Members of the Women of Wisdom Committee are ineligible to receive the ATHENA Award.
COMPLETING THE FORM
• Nominations for the ATHENA Award must be submitted using this nomination form (or a photocopy). The form must be typed or printed clearly;
• Three additional sheets may accompany this packet;
• Please review the nomination form carefully to ensure that comprehensive, quantitative information is supplied which demonstrates the involvement, achievement, and leadership accomplishments of your nominee. The more complete the information provided, the more useful this form will be for those who judge this important award;
• “Scrapbooks” or other supporting documents should not be included. These materials will not be considered during the selection committee deliberations;
• It is recommended that the nominator consult with the nominee before completing the form to ensure accuracy and completion of the form in its entirety.
THE PROCESS
A Selection Committee, which is a subgroup of the Women of Wisdom Committee, will review all nomination forms and select the ATHENA Award recipient.
The ATHENA Award recipient will be announced:
DATE: Friday, May 14, 2010
EVENT: Women of Wisdom Symposium and ATHENA Award Presentation
PLACE: Hilton Garden Inn, Pittsburgh/Southpointe
RETURN COMPLETED FORM TO:
Tara M. Coughenour
Washington County Chamber of Commerce
20 East Beau Street
Washington, PA 15301
SUBMISSION DEADLINE: Monday, March 1, 2010 *
* Submissions must be postmarked or faxed (724.228.7337) by the submission deadline. Late entries will not be accepted.
APPLICATION
Today’s Date
Have you ever received an ATHENA AWARD?
□ Yes □ No.
If yes, please withdraw your name from nomination. Once you receive the ATHENA Award, you are a lifetime recipient of the Award.
The Award heralds your past and present achievements as well as your future successes.
NOMINEE: Mrs. / Ms. / Mr. / Dr.
Title or Position
Company
Business Address
City State Zip Code
Work Telephone ( )
Home Telephone ( )
Facsimile ( )
Email Address
NOMINATOR: Mrs. / Ms. / Mr. / Dr.
Company
Work Telephone ( )
Home Telephone ( )
Facsimile ( )
Email Address
Address
Please complete the following information:
ASSISTS WOMEN IN REACHING THEIR FULL LEADERSHIP POTENTIAL:
Provide specific examples of how the nominee has demonstrated support for the advancement and leadership development of business and professional women.
PROFESSIONAL ACCOMPLISHMENTS:
List special recognitions, projects and achievements. Include professional affiliations, directorships, trusteeships or other designations.
COMMUNITY SERVICE:
Describe local, state and national level participation, length of service and offices held in civic and service organizations, charitable activities, political pursuits, religious groups, chambers of commerce, merchants’ associations, etc.
OTHER MEMBERSHIPS, ACHIEVEMENTS, AWARDS, PUBLICATIONS:
Nominees may already have been honored for service to their profession, industry or community. They also may have publications to their credit or articles published supporting their service to their profession, industry or community. Please list awards and honors received which support this nomination.
ADDITIONAL INFORMATION PERTAINING TO CRITERIA:
Discuss briefly any additional factors you feel are important for consideration of your nominee for the ATHENA Award.
RETURN COMPLETED FORM TO:
Tara M. Coughenour
Washington County Chamber of Commerce
20 East Beau Street
Washington, PA 15301
SUBMISSION DEADLINE: Friday, March 1, 2010 *
* Submissions must be postmarked or faxed (724.228.7337) by the submission deadline. Late entries will not be accepted.
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