Community Leadership Award Nomination

S. Delois Mayes Scholarship Foundation

ACTIVITIES AND ACCOMPLISHMENTS OF NOMINEE: *

ANY OTHER INFORMATION YOU WOULD LIKE TO INCLUDE ABOUT YOUR NOMINEE:

The S. Delois Mayes Scholarship Foundation is accepting nominations for the Community Leadership Award. The Community Leadership Award recipient will be acknowledged at the Fifth Annual Martin Luther King, Jr. Day Benefit Brunch on Monday, January 21, 2019 at 10 a.m. at the Hilton Garden Inn at Harbour View in Suffolk, Virginia. The recipient(s) will be presented with a plaque. We are looking to honor individuals who are doing extraordinary work in the community. Please submit all nominations by November 20, 2018.

Eligibility Requirements and Selection Criteria:

Demonstrates outstanding leadership in the local community
Demonstrates integrity
Respected by peers

Selection Process:

Only nominees with a completed nomination form will be considered for the award
Self-appointed nominations will not be accepted; nominees must be recommended by others in the community
Nominations should be submitted online and received by November 20, 2018
Nominations will be reviewed by the Board of Directors and the recipient will be notified by December 1, 2018

Nominee Phone: *

Nominee Email: *

Nominee Name *

Your Phone Number: *

WHY THE NOMINEE SHOULD RECEIVE THE COMMUNITY LEADERSHIP AWARD: *

Community Leadership Award Nomination Form

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"Helping our Leaders of Tomorrow"