VMCTA Lifetime Achievement Award Nomination Form
Deadline: All materials must be received by August 1.
THE AWARD
The VMCTA Lifetime Achievement Award is sponsored annually by the Vermont Municipal Clerks' and Treasurers' Association (VMCTA) to recognize a Clerk, Treasurer, or Assistant who has faithfully served in municipal government for at least twenty-five (25) years. Recipients are recognized for exceptional lifetime performance, meaningful contributions to the VMCTA, and a commitment to lifelong learning and professional growth.
Nominee Name:
Municipality:
Year became a Municipal Clerk, Treasurer or Assistant:
Is the nominee a Certified Vermont Clerk or Certified Vermont Treasurer?
Yes
No
Is the nominee an active VMCTA member in good standing?
Yes
No
Is the nominee a past award recipient?
Yes
No
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Instructions
Please complete the applicable sections below. Attach additional sheets if necessary. Supporting documentation and letters of recommendation are encouraged.
Describe why you believe your nominee should be awarded the VMCTA Lifetime Achievement Award.
Describe the nominee's active involvement and leadership within the VMCTA.
Describe the nominee's service or community involvement beyond their municipality.
Provide an example of when the nominee demonstrated integrity and leadership and earned the respect and confidence of their peers.
Describe the nominee's dedication throughout their municipal career and their commitment to continuing education, including any certifications obtained.
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Optional Sections (Recommended Criteria)
These sections are optional and will not disqualify a nominee if left blank.
Describe the nominee's participation in or service to professionally related organizations (e.g., VLCT, VTGFOA, NEGFOA, or GFOA).
Significant Accomplishments Describe any notable professional accomplishments achieved by the nominee over their career.
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Nomination prepared and submitted by:
Name:
Title:
Municipality:
Email:
example@example.com
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