1.Nominee's Name:

2.Nominee's Position:

3.Nominee's Company Name/Organization/Affiliation:

4.This Nomination for the Award for Lifetime Achievement is based on the following qualifications:

A stellar career with diverse work experience and outstanding achievement.

A substantial record of Public and Community Service and Volunteerism.

An impressive compilation of awards from business, community and personal endeavors.

An extensive catalog of Memberships, Committees and Offices held.

Involvement in the political process.

Significant accomplishments in hobbies or extracurricular activities.

Will submit an email with information to chamber@gardnerma.com.

5.Nominated by: