Nomination Form (2021)

The FCS Jamie E. DePeau Leadership Award recognizes an FCS member in good standing whose active participation and selfless perspective have benefited, educated, or inspired others in the world in which we work and live. This annual honor will serve to acknowledge the living examples of Ms. DePeau’s humanity and leadership.

Nomination Instructions
To submit an entry you will need to complete the following sections of this form:
General Statement
Nominee Non-Workplace Activities
Nominee Workplace Activities
Nominee Values
Nominee Involvement with the FCS
Nomination Supporters

All nominations must be submitted by 5:00pm ET on Thursday, November 11, 2021.

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* 1. Please provide the contact information of the nominating party (who would be invited to present the award live and in-person during our Awards Gala on December 1 at the New York Yacht Club).

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* 2. Please provide the contact information of your nominee.

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* 3. Please explain why you have chosen this nominee.  (up to 250 words.)

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* 4. Please list up to 5 of the nominee’s non-work activities.

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* 5. Describe nominee’s involvement and the impact of each role on the organization, its members, and those benefiting from its mission.

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* 6. Please describe the nominee’s workplace activities that may exceed expected performance or responsibilities.

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* 7. Please list up to ten (10) values/traits that you associate with the nominee.

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* 8. Please describe the nominee’s participation/involvement with the FCS.

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* 9. Please provide up to 3 individuals who would support this nomination.

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