Clone of 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.
Chamber Business of the Year Awards

Individualsmay NOT nominate themselves.

Large Business of the Year: (25+ employees)

Small Business of the Year: (Less than 25 employees.)

Finalists and recipients will be honored based on the following criteria:

Chamber Businesses have made a substantial contribution to the community for the last three years or longer. Business Excellence - Achieved successful business practices, e.g. marketing, promotional activities, strong ethics. Promotes employee self-growth and development. Has demonstrated a high level of customer satisfaction, confidence, and service. Community Service - Has proven their interest in the welfare of the community through financial contributions, personal service or civic leadership.
- Which DSA Award?
- Business Name
- Business Phone Number
  
  Area CodePhone Number
- Business 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