Promoting Investment and Trade between the United States, Jamaica and the Region
AMCHAM JAMAICA - The Jamaica Pegasus, 81 Knutsford Blvd - Kingston 5 Tel. (876) 929-7866 Fax. (876) 929-8597
AmCham Jamaica Logo and Branding Notice: The names "AmCham Jamaica" and "American Chamber of Commerce of Jamaica" and the AmCham Jamaica logos (brand mark including symbol, AmCham logotype, Jamaica adjective and associated colors) are the exclusive property of AmCham Jamaica and may not be used for any purpose by any entity or individual without the express written permission of AmCham Jamaica. For further information contact: amcham@cwjamaica.com
Tuesday, September 27th, 2011
BUSINESS AND CIVIC LEADERSHIP AWARDS 2011 NOMINATION FORM FOR:
This form must be completed by individuals and organizations who wish to make a nomination for (1) of the (2) Awards set out above, and the appropriate box “□” above, should be so marked.
IMPORTANT NOTE: Please ensure that before completion of this Nomination Form that you read carefully, understand and are confident that your Nominee qualifies for these Awards and meets the criteria set out in the “Overview and Criteria” document related to this Award program. If you have not, please contact our Offices to access that information, otherwise your submission will not be reviewed by our judges. The judges will make their decisions solely on the information submitted with this nomination and the judges’ decision is final.
Complete and submit this form. We will confirm the receipt of your Nomination Form by email or phone call within (2) working days after receipt. If you do not receive confirmation please phone the AMCHAM office. Please read your entry carefully before submitting as the language may be used in promotions of our program. If you have any enquiries, please contact our office, via phone or e-mail.
THE DEADLINE FOR THE SUBMISSION OF NOMINATION FORM IS:
FRIDAY, SEPTEMBER 9th, 2011, at 4:00pm
INDIVIDUAL BEING NOMINATED (IF APPLICABLE):
Organization/s the Individual is Affiliated With and Contact Information (If applicable):
Mailing Address of Nominee:
Names and Contact Info of (2) Other References for this Individual:
Telephone:
Fax:E-mail: Website:
Fax:E-mail: Website:Profile of Individual/Organization/Community Group/School Being Nominated: (100 Words or Less)
This Individual’s/Organization’s/Community Group/School’s Leadership had a Significant Impact on a Community or an Organization Achieving the Following Result/Results: (500 Words or Less) Inc. Two (2) Third-Party Testimonials.
This Individual’s/Organization’s/Community Group/School’s Specific Community Involvement in the Process Was: (150 Words or Less)
This Individual’s/Organization’s/Community Group/School’s Leadership Should Be Recognized Because: (150 Words or Less)
Nominator’s Name:
Company/Organization (If applicable): Title:
Title:Address:
Phone:Fax:E-mail:Website:
Fax:E-mail:Website:PLEASE NOTE:
Additional supporting documentation, Annual and Financial reports are required for this Nomination category. Photos, videos, DVD’s are encouraged.
These items should be delivered along with a hard copy of this Nomination Form to the AMCHAM office, will become the property of AMCHAM, and as such, will not be returned.
THIS NOMINATION FORM IS FOR AN:
ORGANIZATION/COMMUNITY/SCHOOL BEING NOMINATED: (IF APPLICABLE):
Director/Owner:
Title:
Date Established:
Registered Non-Profit:
Number of Employees/Participants:
Mailing Address:
Physical Address (if different from above):
Telephone:Fax:E-mail: Website:
Fax:E-mail: Website:This Individual’s/Organization’s/Community Group/School’s demonstrated leadership is characterized by one or more of the following attributes: Vision, Courage, Example, Initiative, Motivation, Selflessness, Commitment, Dependability and Accomplishment. Please provide a brief description of this demonstrated leadership. (100 words or less).
