Distinguished Service Award Nomination Form

The Distinguished Service Award recognizes those people who have made outstanding contributions to the GAC® through volunteer work. This is an award of distinction and is only given for specific exemplary service. The prestige of this award can be kept high if it is presented in small numbers.

Guidelines:


PLEASE READ BEFORE PREPARING NOMINATION


OPTIONS FOR SUBMISSION OF NOMINATION:

 

 





NOMINATION FORM
(Note - Distinguished Service Award nominees need not be GAC® members.)



DISTINGUISHED SERVICE AWARD NOMINEE:
Name:    
Position:
Address:
E-Mail:
Phone:   Fax:




SPONSOR:
Name:    
Position:
ADDRESS:
E-Mail:  
Phone:      Fax:



CITATION:
This should summarize the service that is the basis for this Distinguished Service Award nomination. This citation will be read upon presentation of the award to the successful candidate and published in Geolog as part of the announcement of the award (maximum 200 words).
CHECKLIST TO ENSURE THAT NOMINATION IS COMPLETE

Name and address for nominee and sponsor
Citation
Supporting documents submitted in separate email
or
Hard copy supporting documents sent by fax or post





 

Last modified: December 20, 2009
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