2009 Nomination Form
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2009 Nomination Form |
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T.B.O.A Code Official Of The Year | |
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| Instructions: The nominating form must be completed and postmarked by March 20, 2009. Where dates are requested, the year is sufficient. If additional attachments are used, please staple to the nomination form. Within the comment section state briefly why the person nominated is deserving of the award. Use the reverse side of this form for any additional comments. |
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1.
Name Placed In Nomination:_____________________________________________________ |
| Date Nominated_________________________________________________________________ |
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2. Position/Title_________________________________________________________________ Jurisdiction_____________________________________________________________________ |
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3. Chapter Nominating___________________________________________________________ Individual Nomination_____________________________________________________________ Contact person's name, with phone or email address: ______________________________________ _____________________________________________________________________________ |
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4.
Has the Nominee held elected office? If so, indicate position,
organization, and dates, if
known a. Nominee's Chapter__________________________________________________________ b. State Chapter ______________________________________________________________ c. Region 8__________________________________________________________________ d. ICC_____________________________________________________________________ |
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5. Civic involvement, if known: _____________________________________________________ _____________________________________________________________________________ |
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6.
Other notable achievements:
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7.
Additional comments on why the nominee should be considered for this
award
_____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ |
| You may use the reverse side of this form for any additional comments. |
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nomination forms by March 20, 2009 to: |
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| Awards Committee; TBOA; P.O. Box 332005; Nashville, TN 37203 |
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