THE AWARD OF EXCELLENCE
(ELMER G. VOIGT AWARD)
APPLICATION

 

NAME OF NOMINATING ORGANIZATION:____________________________________

Address____________________________________________________________________

City______________________________________State______________Zip_____________

Contact Person______________________________ Telephone________________________

 

INDUSTRY CANDIDATE
We do not have an industry candidate this year. ______
We are pleased to submit a nominee representing industry.

NOMINEE'S NAME_________________________________________________________

Address____________________________________________________________________

City______________________________________State______________Zip_____________

Telephone________________________

 

EMPLOYER

Address____________________________________________________________________

City______________________________________State______________Zip_____________

Telephone________________________

 

EDUCATION CANDIDATE
We do not have a candidate representing education this year. _______
We are pleased to submit a nominee representing education.

NOMINEE'S NAME_________________________________________________________

Address____________________________________________________________________

City______________________________________State______________Zip_____________

Telephone________________________

 

EMPLOYER_______________________________________________________________

Address____________________________________________________________________

City______________________________________State______________Zip_____________

Telephone________________________

Be sure to enclose (1) biographical data and (2) a detailed description of contributions and accomplishments.

Complete form and all information by DECEMBER 15 and send to:

JR Westland
c/o NALC Awards
15421 Old Columbia Pike
Burtonsville, MD 20866

(301) 384-7700 · FAX (301) 384-2616

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