Iris Award Nominee
Name
Nominee name is required.
Address
Nominee address is required.
City
Nominee city is required.
State
Nominee state is required.
Zip
Nominee zip is required.
Phone 1
Nominee phone is required.
Phone 2
Email
Please select the following category that best represents your nominee's contributions and service: the area where she has had the greatest impact. Based on the awards criteria, the screening and selection committees reserve the right to consider a nominee in a different category.
Public Sector (government service - may include police, military, transportation, public education and healthcare)
Private Sector (for-profit organizations - may include business and industry)
Philanthropic (nonprofit organizations including charitable, educational, and religious)
H-ROC (Consistent with the organizational goals of H-RoC, the criteria for this first award will be the demonstration of leadership in the promotion of civil discourse, team work, collaboration and cooperation.)
Optional Information: (Please check all that apply to your nominee)
Black/African American
Eastern European
White/Caucasian
Hispanic/Latina
Asian/Pacific Islander
Veteran
Native American/Alaskan Native
Middle Eastern
Disabled Individual
Please answer the following questions about the nominee.
What makes this individual outstanding?
Describe specific achievements this individual has accomplished through:
Professional activities (career/employment)
Volunteer/service activities
Community involvement
Describe how this individual is a leader and/or role model for others.
Describe how this individual has impacted our region. Please give specific examples.
Nominator
Your Name (nominator)
Nominator name is required.
Address
Nominator address is required.
City
Nominator city is required.
State
Nominator state is required.
Zip
Nominator zip is required.
Phone 1
Nominator phone is required.
Phone 2
Email