*1.Nominee Name:(Required.)

*2.Company(Required.)

*3.Community Involvement/Achievements:(Required.)

*4.How has the candidate demonstrated the criteria of this award?
·       Empowers, inspires and fosters leadership in others
·       Serves with humility and empathy
·       Has a history of putting others first
·       Creates a culture of trust and collaboration
·       Gives of their time for the betterment of the community
·       Earns respect by leading with professionalism, integrity and excellence
·       Does NOT have to be a graduate of LMC.(Required.)

*5.Nominated By:(Required.)

*6.Email:(Required.)

*7.Phone:(Required.)