Pinnacle of Achievement Award
                          Nomination Form

           The nomination deadline is 5 p.m. Monday, May 11, 2009

NOMINEE:

Name:
Title or Position:
Company:
Business Address:
Business Address:
Business Phone:
Alternate Phone:

Please complete the following information.

Please provide detailed information as to your nominee’s qualifications for this prestigious award.  Judges decision will be based on information provided by you.

1. DEMONSTRATES SUPPORT OF PROFESSIONAL WOMEN:
Provide specific examples of how the nominee has demonstrated support for the advancement of business and professional women.


2. BUSINESS ACCOMPLISHMENTS:
List special recognitions, projects, and achievements.   Include business related affiliations, directorships, trusteeships or other designations.


3. COMMUNITY SERVICE:
Describe local, county and state level participation, length of service and offices held in civic and service organizations, charitable activities, political pursuits, religious groups, chambers of commerce, merchant’ associations, etc.


4. 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.


5. ADDITIONAL INFORMATION PERTAINING TO CRITERIA:
Discuss briefly any additional factors you feel are important for consideration of your nominee for the Pinnacle of Achievement Award.


NOMINATOR:

Your Name:
Company Name:
Business Phone:
Alternate Phone:
Email Address

For more information contact Jan Barwick, Director of Events and Programs
Kinston-Lenoir County Chamber of Commerce
(252) 527-1131
(252) 527-1914 fax
jbarwick@kinstonchamber.com
www.kinstonchamber.com