Distinguished Service Award Nomination Form

The Distinguished Service Award, created in 1946, is the highest individual award a member may receive. It recognizes a lifetime of service and loyalty to the Fraternity.

Nominees must have demonstrated outstanding loyalty and dedication to the Fraternity for many years that distinguished themselves as a member deserving recognition above all others. Their actions exhibit a deep understanding of the Fraternity’s teachings, adherence to Fraternity Laws, attention to the promotion of its welfare and exemplary conduct that guards well its honor and high standing.

Understanding the nomination form and process:

Nominations must be received by the Eminent Supreme Recorder/CEO at least eight weeks in advance of a desired presentation date.
All nominations will be reviewed once a quarter.
Not all nominations will ultimately be selected, and there is no guaranteed time window in which a nominee will be selected.
Nominations only need to be submitted once and will stay on file with the Supreme Council.
If your nominee is selected, you will be notified. Otherwise, your nomination is still under consideration.

This award is approved by the Supreme Council and presented by the Supreme Council at the Fraternity Convention or at other times as deemed appropriate. Nominations can be made by any member of the Fraternity. To avoid disappointment, the nominee should not be notified of their nomination.

YOUR CONTACT INFORMATION

Name*

First NameLast Name

Phone Number:*

E-Mail:*

nominee CONTACT INFORMATION

Name of Nominee*

First NameLast Name

Nominee's spouse/partner name

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number:*

E-Mail:*

example@example.com

Company Name*

Professional Title*

College/University*

Chapter*

Statement of his outstanding loyalty and dedication to SAE*

Actions that exhibit his understanding of the Fraternity’s teachings, adherence to Fraternity Laws, attention to the promotion of its welfare, and exemplary conduct that guards well its honor and high standing*

INVOLVEMENT HISTORY

Please include a month and year for all positions the Nominee has served if possible.

LOCAL SAE SERVICE POSITIONS

Local position served: ROLE from   Start Date     To      End Date    .
Local position served: ROLE from   Start Date     To      End Date    .
Local position served: ROLE from   Start Date     To      End Date    .
Local position served: ROLE from   Start Date     To      End Date    .
Local position served: ROLE from   Start Date     To      End Date    .
Local position served: ROLE from   Start Date     To      End Date    .
Local position served: ROLE from   Start Date     To      End Date    .
Local position served: ROLE from   Start Date     To      End Date    .
Local position served: ROLE from   Start Date     To      End Date    .
Local position served: ROLE from   Start Date     To      End Date    .

PROVINCE/regional SAE Position Served:

Province/Regional SAE position served: ROLE From   Start Date     To      End Date    .
Province/Regional SAE position served: ROLE From   Start Date     To      End Date    .
Province/Regional SAE position served: ROLE From   Start Date     To      End Date    .
Province/Regional SAE position served: ROLE From   Start Date     To      End Date    .
Province/Regional SAE position served: ROLE From   Start Date     To      End Date    .
Province/Regional SAE position served: ROLE From   Start Date     To      End Date    .
Province/Regional SAE position served: ROLE From   Start Date     To      End Date    .
Province/Regional SAE position served: ROLE From   Start Date     To      End Date    .
Province/Regional SAE position served: ROLE From   Start Date     To      End Date    .
Province/Regional SAE position served: ROLE From   Start Date     To      End Date    .

National SAE Position SERVED:

National SAE position served: ROLE From   Start Date     To      End Date.
National SAE position served: ROLE From   Start Date     To      End Date.
National SAE position served: ROLE From   Start Date     To      End Date.
National SAE position served: ROLE From   Start Date     To      End Date.
National SAE position served: ROLE From   Start Date     To      End Date.
National SAE position served: ROLE From   Start Date     To      End Date.
National SAE position served: ROLE From   Start Date     To      End Date.
National SAE position served: ROLE From   Start Date     To      End Date.
National SAE position served: ROLE From   Start Date     To      End Date.
National SAE position served: ROLE From   Start Date     To      End Date.

Other SAE SERVICE POSITIONS

Other SAE position served: ROLE From   Start Date     To      End Date.
Other SAE position served: ROLE From   Start Date     To      End Date.
Other SAE position served: ROLE From   Start Date     To      End Date.
Other SAE position served: ROLE From   Start Date     To      End Date.
Other SAE position served: ROLE From   Start Date     To      End Date.
Other SAE position served: ROLE From   Start Date     To      End Date.
Other SAE position served: ROLE From   Start Date     To      End Date.
Other SAE position served: ROLE From   Start Date     To      End Date.
Other SAE position served: ROLE From   Start Date     To      End Date.
Other SAE position served: ROLE From   Start Date     To      End Date.

CIVIC AND COMMUNITY POSITIONS

Civic and Community position served: ROLE From   Start Date     To      End Date    .
Civic and Community position served: ROLE From   Start Date     To      End Date    .
Civic and Community position served: ROLE From   Start Date     To      End Date    .
Civic and Community position served: ROLE From   Start Date     To      End Date    .
Civic and Community position served: ROLE From   Start Date     To      End Date    .
Civic and Community position served: ROLE From   Start Date     To      End Date    .
Civic and Community position served: ROLE From   Start Date     To      End Date    .
Civic and Community position served: ROLE From   Start Date     To      End Date    .
Civic and Community position served: ROLE From   Start Date     To      End Date    .
Civic and Community position served: ROLE From   Start Date     To      End Date    .

Bussines and Professional Positions

Business/Professional position served: ROLE From   Start Date     To      End Date    .
Business/Professional position served: ROLE From   Start Date     To      End Date    .
Business/Professional position served: ROLE From   Start Date     To      End Date    .
Business/Professional position served: ROLE From   Start Date     To      End Date    .
Business/Professional position served: ROLE From   Start Date     To      End Date    .
Business/Professional position served: ROLE From   Start Date     To      End Date    .
Business/Professional position served: ROLE From   Start Date     To      End Date    .
Business/Professional position served: ROLE From   Start Date     To      End Date    .
Business/Professional position served: ROLE From   Start Date     To      End Date    .
Business/Professional position served: ROLE From   Start Date     To      End Date    .

Honors and Recognition

National SAE Recognition Awards*

Certificate of Appreciation Date Awarded

Date

Order Of the Lion Date Awarded

Date

Order of Minerva Date Awarded

Date

Order of DeVotie Date Awarded

Date

T.H.E. Date Awarded

Date

Impact Award Date Awarded

Date

Shield of Brotherhood Date Awarded

Date

Merit Key Date Awarded

Date

Civic and Community Honors/Awards

Business and Professional awards