EmailMeForm
MNWT Outstanding Program Manager Nomination
Responses to the online form will be viewed by the appropriate State Program Manager and the Programming Vice President by due date. Upon completion of the form, click Submit; you will receive a confirmation screen if your form has been successfully submitted. (rev 2016)
Your Email
*
Date Time
*
MM
/
DD
/
YYYY
Submitter Name
*
First
Last
Address
Street Address
City
State / Province / Region
Postal / Zip Code
Phone
###
-
###
-
####
Nominee Information
Name
*
First
Last
District
*
Please select
District 2
District 3
District 4
District 5
District 6
District 7
District 8
District 10
District 11
Chapter
*
Position
Please select
Community Connections LOCAL Program Manager
Living & Learning LOCAL Program Manager
Priority Area LOCAL Program Manager
Women's Wellness LOCAL Program Manager
Youth of Today LOCAL Program Manager
Community Connections DISTRICT Program Manager
Living & Learning DISTRICT Program Manager
Priority Area DISTRICT Program Manager
Women's Wellness DISTRICT Program Manager
Youth of Today DISTRICT Program Manager
Has this member submitted reports on time to District Programming VP and/or SPM?
*
Please select
Yes
No
Has this member been nominated in the above programming area already this year?
*
Please select
Yes
No
When was this member nominated?
MM
/
DD
/
YYYY
Guidelines to consider in program area involvement
Completed LPM/PVP Fast Start
Reports at chapter or district meetings
Visitations to other chapters/districts
NOTE: it is not necessary that the nominee has completed all of these items; they are listed as suggested items to take into consideration.
Local and/or District Meetings
*
Number Held
Number Attended
Board Meetings
General Meetings
Communication with Chapter(s) and/or District
*
List how and when communication occurred, as well as the purpose for the communication.
List the fundraisers, certifications, or other programs in which the nominee participated or chaired.
Describe the incentives offered to members for participation in area.
Promotion of Programming Area
*
List how and when promotion occurred, as well as the describing the promotion.
Other reasons for consideration:
*
Expand on how the nominee is outstanding.
