Individual Service Award (ISA) Nomination Form

Individual Service Award (ISA) Nomination Form

Beautification Council of Southeastern Michigan
The purpose of the BCSEM Individual Service Award is to honor an individual for outstanding volunteer efforts in the fields of beautification or ecology. The recipient of this award must be an individual from a BCSEM member community, and must be an unpaid volunteer. The ISA Evaluation Criteria include the following:

1) Longevity as a volunteer;
2) Scope of volunteer activities;
3) Leadership demonstrated during volunteer activities;
4) Recognitions, proclamations, and awards; and
5) Certifications and credentialing.

Please reference these criteria in your summaries below. Attach additional pages if necessary.
Nominee's Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
BCSEM Member Community Name*
1. Explain the background of the individual and reasons for the nomination*
2. Describe the project or the on-going activities*
3. How did the community benefit from the project or on-going activity?*
4. Upload photos, newspaper articles, letters of recommendation, or anything pertinent to enhance the nomination.*

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The information contained in this nomination is verified by:
Contact Name*

First NameLast Name
Contact Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Phone Number*
Please enter a valid phone number.
Contact Email*
example@example.com
THE NOMINATION DEADLINE IS AUGUST 15.
All nominations MUST be received by this date.
Awards will be presented at the BCSEM Fall Quarterly Meeting.

All material submitted becomes the property of Beautification Council of Southeastern Michigan.
You may nominate previously-nominated individuals. However, past ISA winners are not eligible.
For guidance in preparing this form, feel free to contact John Darin, c. 734-652-0254.
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Individual Service Award (ISA) Nomination Form

The information contained in this nomination is verified by: