Distinguished Service Awards Nomination Form

2027 Distinguished Service Awards Nomination Form

Nomination Deadline: Dec 18th, 2026 | Awards to be presented March 13th, 2027
INSTRUCTIONS

Please only use this form to nominate one person or company at a time. If you would like to nominate more than one person or company, please use this form again separately.

If you need assistance: Please email Jadyn at jadyn@albanychamber.com, or call the Chamber office at 541-926-1517.
Distinguished Service Awards

Lifetime Achievement Award: Recognizes an individual whose sustained leadership, dedication, and service have made an extraordinary and enduring impact on the Albany community. This prestigious award celebrates a legacy of meaningful contributions, spanning decades, that has helped shape and strengthen our community for generations to come.

Jim Linhart First Citizen Award: Honors an individual who has demonstrated outstanding leadership, service, and dedication to improving the Albany community. Through their professional contributions, volunteerism, civic engagement, and community involvement, this individual has made a significant and lasting positive impact and serves as an inspiration to others.

Emerging Leader Award: Honors an individual who is demonstrating exceptional leadership, initiative, and commitment to making a positive impact in the Albany community. This award recognizes young professional who is actively pursuing servant leadership and volunteerism, making meaningful contributions and a positive impact.
- Which DSA Award?
- Nominee's Name
  
  First NameLast Name
- Nominee's Phone Number
  
  Area CodePhone Number
- Nominee's E-mail Address
- Reason For Nomination (Civic & Community Involvement, Social & Economic Impact, Leadership & Innovation)
  Explain why your nominee deserves the selected award.
- Your Name
  
  First NameLast Name
- Your E-mail Address
- Your Phone Number
  
  Area CodePhone Number
- Should be Empty:

2027 Distinguished Service Awards Nomination Form