Award Nomination Form

This form is to be used for nominating those individuals who you feel deserve an RPCN award because of they are outstanding in one or more of the categories listed below. Please fill out the appropriate form.

Note: If you want to nominate a second (or more) candidate, there is a link available after you click the Submit button that will return you to this form.

For each candidate, please enter the information and the reason(s) why you feel this person would be a good selection for the award.

First, about you

My name is

First NameLast Name

My Email is

My Phone Number is

The Awards

Community Champion

This award recognizes the person judged to have provided directon or guidance that resulted in a noteworthy improvement in the community or in a community service organization in the area.

I nominate

Name of Candidate

First NameLast Name

Organization Name

Email Address

Reason for nominating this person for the Community Champion Award:

Leadership Award

This award recognizes a leader within their business or organization, who promotes business growth and fosters diversity.

I nominate

Name of Candidate

First NameLast Name

Organization Name

Email

Reason for nominating this person for the Leadership Award:

Entrepreneur of the Year

This award is for an entrepreneur who had the most noteworthy achievement in business. The individual may have landed their business a state award or recognition, created a significant number of jobs, experienced significant growth within their business, or had the most community benefit.

I nominate

Name of Candidate

First NameLast Name

Organization

Email Address

Reason for nominating this person for the Entrepreneur of the Year Award:

Linda Halliburton Friend of RPCN Award (for non-member only)

This award recognizes any non-RPCN member whose dedicaton helped to increase visibility, grow membership, or promote the principles of RPCN to the community. It is named for Linda Halliburton, former member of the Business Division at the Rochester Central Library, who voluntarily recommended RPCN to library clients by citing our benefits, providing organization materials, and attaching our contact information to the library’s books about consulting.

I nominate

Name of Candidate

First NameLast Name

Organization Name

Email

Reason for nominating this person for the Linda Halliburton Friend of RPCN Award (must be a non-member of RPCN):

Dave Young Dedicated Service Award

This award honors any member of RPCN whose efforts of devotion and dedication greatly benefits RPCN’s organizaion, growth, programs, or standing in the community. It is named in memory of Dave Young, a founding member of RPCN, who put forward many 'behind the scenes' efforts from the earliest organizaional meengs to make RPCN a reality (Candidate must be an RPCN Member).

I nominate

Name of Candidate

First NameLast Name

Organization Name

Email Address

Reason for nominating this person for the Dave Young Dedicated Service Award (must be a member of RPCN):