Nominate

THE NOMINATION DEADLINE IS Monday, MARCH 30, 2015.

At the North County Incorporated Annual Breakfast on Friday, May 29, 2015 we will once again present awards to those individuals who have shown a strong commitment to the North County region through their business, civic, and humanitarian acts. We need your help in identifying these key individuals. Please complete and return the following information:

Awards will be presented in four categories:

  1. Business Development: An individual, organization, or business whose efforts positively impacted the economic development and business climate of the North County area.
  2. Community Development: An individual, organization, or business whose efforts positively benefited youth, residents, civic organizations, or others through selfless acts. Their contribution needs to be beyond the individual’s employment responsibilities, or a business/organization’s mission and scope of work.
  3. Public Service Award: An outstanding individual elected, appointed, or employed by a public body whose long time service has had a positive impact on the community and/or public body they serve.
  4. Elmer Belsha Leadership Award: An individual whose long-term commitment to North County Incorporated and the North County area has had a positive impact.

NOTE: The individual nominated must reside, own, or work for a business, organization, or institution located within the North St. Louis County region. Entries must be 18 years of age, and nominations must be submitted no later than Monday, March 30. Incomplete applications will not be considered.

    NOMINATION FORM
    PLEASE FILL OUT THE FOLLOWING INFORMATION ABOUT YOURSELF:
    NAME*:

    EMAIL*:

    PHONE*:

    ADDRESS*:
    CITY*:
    STATE*:
    ZIP CODE*:

    PLEASE FILL OUT THE FOLLOWING INFORMATION ABOUT THE PERSON YOU ARE NOMINATING:
    NAME*:
    CATEGORY SELECTION:

    EMAIL:

    PHONE:

    ADDRESS*:
    CITY*:
    STATE*:
    ZIP CODE*:

    DESCRIPTION OF NOMINEE'S CONTRIBUTION TO SELECTED CATEGORY
    The judges are only given the information that you submit with this application as they consider the nominee. Please be as complete as possible and provide as much detail as possible. Remember the judges usually do NOT know your nominee. You may also send any additional documents to nci1@northcountyinc.com
    :


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    North County Incorporated

    8225 Florissant Rd., Suite 11
    St. Louis, MO 63121
    phone: (314) 895-6241
    email: nci@northcountyinc.com

     

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