Nomination Form (2023)

The FCS Jamie E. DePeau Leadership Award recognizes a member of the FCS who, through personal and professional contributions to their community, serves as a living example of the selfless humanity and inspirational leadership that Jamie DePeau embodied during her career. Winners of the Award demonstrate leadership that inspires and educates others to think big, to break down barriers, and to perform at their highest potential.

Nomination Instructions
To submit an entry, please complete the following sections:
- About the Nominee
- 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 Friday, November 3, 2023.

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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 November 30 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 detail the nominee’s role in any charitable organizations and other activities that fall outside of their professional role (list up to five).

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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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