FEA Nomination Form - Rotary Club of Green Bay

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Free Enterprise Award Form

The Free Enterprise Award Form consists of the following information and questions, which need to be provided to the Rotary Club of Green Bay. Please click on “Take Me To Free Enterprise Award Form” when you have all required information as listed below. Feel free to contact the Rotary Club of Green Bay, if you have any questions.

- Step 1, Information about Nominee:

Nominee First and Last Name
Nominee Title
Nominee Company Name
Nominee Business Phone Number

- Step 2, Information about the Submitter:

Submitter First and Last Name
Submitter Title
Submitter Phone Number
Submitter Email Address

- Step 3, which contains of 4 questions as followed:

How has the nominee demonstrated leadership in his/her business and within his/her industry?
How has the nominee's conduct reflected the tenets of the Rotary 4-Way Test?
How has the nominee expressed a sense of service and commitment to his/her community that also enables the organization’s employees to volunteer and grow the community?
What other factors should be considered for this nominee

Information about Nominee

Nominee First and Last Name(*)

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Nominee Title(*)

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Nominee Company Name(*)

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Nominee Business Phone Number(*)

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Submitter Information

Submitter First and Last Name(*)

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Submitter Title(*)

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Submitter Phone Number(*)

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Submitter Email Address(*)

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Question 1 of 4

Question 1(*)

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1. How has the nominee demonstrated leadership in his/her business and within his/her industry?

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Question 2 of 4

Question 2(*)

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2. How has the nominee's conduct reflected the tenets of the Rotary 4-Way Test?

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Question 3 of 4

Question 3(*)

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3. How has the nominee expressed a sense of service and commitment to his/her community that also enables the organization’s employees to volunteer and grow the community?

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Question 4 of 4

Question 4(*)

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4. What other factors should be considered for this nominee.

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Proof you are a human

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