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1. 2015 ALF Exemplary Leader Award Nomination

Thank you for submitting a nomination for ALF's 2015 Exemplary Leader Award, to be given at the annual community dinner in the Fall of 2015.

Please complete the questions below to make your nomination. This information will be kept confidential, viewed only by the award selection committee.

Award selection criteria:
Exemplifies the ALF Cornerstones (see below);
Is regional and collaborative;
Is visible in the region for his/her works.
(Note: nominee does not need to be an ALF Fellow)

ALF Cornerstones
1. Building trust and networks with diverse leaders.
2. Motivating leaders to be catalysts for community change.
3. Strengthening collaborative leadership skills.
4. Exploring the interconnectedness of communities, nations, and the world.
5. Exploring, enriching, and renewing personal values, fostering a balance between being and doing.
6. Understanding and empowering self and others.
7. Exploring, understanding, and valuing diversity.
8. Inspiring leaders to a lifetime of active public engagement.

Previous Recipients (titles at time of award):
2014: Joe Genshlea, Attorney, Genshlea Law
2014: Susan Frazier, Consultant/Community Leader
2014: Kevin Johnson, Mayor, City of Sacramento
2013: Brice Harris, Chancellor, California Community Colleges
2013: Larry Vanderhoef, Chancellor Emeritus, UC Davis
2012: Vicki Barber, Superintendent, El Dorado County Office of Education
2012: Joe Coomes, Of Counsel, Best Best & Krieger, LLP
2012: Tom Stallard, Vice Mayor, City of Woodland
2011: Scott Syphax, Nehemiah Corporation of America
2010: Fred Teichert, Executive Director, The Teichert Foundation
2009: Pat Fong Kushida, CEO, Sacramento Asian Pacific Chamber of Commerce
2008: Darrell Steinberg, Senator, California State Senate
2007: Allen Warren, President & CEO, New Faze Development, Inc.
2006: Dennis H. Mangers, President, California Cable & Telecommunications Assn.
2005: Muriel Johnson, Supervisor, County of Sacramento
2004: William H. Lee, Publisher, The Observer Newspapers
2003: Michael Ziegler, President & CEO, PRIDE Industries
2002: Lina Fat, Executive Chef, California Fats
2001: Robert T. Matsui, Representative, US House of Representatives
2000: Donald Gerth, President, California State University, Sacramento & Joe Serna, Jr., Mayor, City of Sacramento (posthumous)
1999: Sandy Smoley, Secretary, California Health & Human Services Agency

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* 1. Your Name:

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* 2. Your Contact Info (phone, email):

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* 3. If this nomination is supported by other ALF members, please indicate them here (however, it would be more effective if each nominator completed a form individually):

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* 4. Name of Nominee

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* 5. Nominee's Job Title:

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* 6. Nominee's Organization:

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* 7. Nominee's Contact Info (phone, email, etc.):

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* 8. On a scale of 1-5, with 5 being highest, please rate how well the nominee reflects the CORNERSTONES OF A.L.F.:

	1	2	3	4	5
Builds trust and networks with diverse leaders	Builds trust and networks with diverse leaders 1	Builds trust and networks with diverse leaders 2	Builds trust and networks with diverse leaders 3	Builds trust and networks with diverse leaders 4	Builds trust and networks with diverse leaders 5
Motivates leaders to be catalysts for community change	Motivates leaders to be catalysts for community change 1	Motivates leaders to be catalysts for community change 2	Motivates leaders to be catalysts for community change 3	Motivates leaders to be catalysts for community change 4	Motivates leaders to be catalysts for community change 5
Strengthens collaborative leadership skills in self and others	Strengthens collaborative leadership skills in self and others 1	Strengthens collaborative leadership skills in self and others 2	Strengthens collaborative leadership skills in self and others 3	Strengthens collaborative leadership skills in self and others 4	Strengthens collaborative leadership skills in self and others 5
Explores the interconnectedness of communities, nations, and the world	Explores the interconnectedness of communities, nations, and the world 1	Explores the interconnectedness of communities, nations, and the world 2	Explores the interconnectedness of communities, nations, and the world 3	Explores the interconnectedness of communities, nations, and the world 4	Explores the interconnectedness of communities, nations, and the world 5
Explores, enriches, and renews personal values, fostering a balance between being and doing	Explores, enriches, and renews personal values, fostering a balance between being and doing 1	Explores, enriches, and renews personal values, fostering a balance between being and doing 2	Explores, enriches, and renews personal values, fostering a balance between being and doing 3	Explores, enriches, and renews personal values, fostering a balance between being and doing 4	Explores, enriches, and renews personal values, fostering a balance between being and doing 5
Understands and empowers self and others	Understands and empowers self and others 1	Understands and empowers self and others 2	Understands and empowers self and others 3	Understands and empowers self and others 4	Understands and empowers self and others 5
Explores, understands, and values diversity	Explores, understands, and values diversity 1	Explores, understands, and values diversity 2	Explores, understands, and values diversity 3	Explores, understands, and values diversity 4	Explores, understands, and values diversity 5
Inspires leaders to a lifetime of active public engagement	Inspires leaders to a lifetime of active public engagement 1	Inspires leaders to a lifetime of active public engagement 2	Inspires leaders to a lifetime of active public engagement 3	Inspires leaders to a lifetime of active public engagement 4	Inspires leaders to a lifetime of active public engagement 5

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* 9. What examples can you give that led you to the ratings above?

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* 10. On a scale of 1-5, with 5 being highest, please indicate your impression of how VISIBLE a leader the nominee is in the following sectors:

	1	2	3	4	5
Business	Business 1	Business 2	Business 3	Business 4	Business 5
Nonprofit	Nonprofit 1	Nonprofit 2	Nonprofit 3	Nonprofit 4	Nonprofit 5
Government	Government 1	Government 2	Government 3	Government 4	Government 5
Sacramento County	Sacramento County 1	Sacramento County 2	Sacramento County 3	Sacramento County 4	Sacramento County 5
El Dorado County	El Dorado County 1	El Dorado County 2	El Dorado County 3	El Dorado County 4	El Dorado County 5
Placer County	Placer County 1	Placer County 2	Placer County 3	Placer County 4	Placer County 5
Yolo County	Yolo County 1	Yolo County 2	Yolo County 3	Yolo County 4	Yolo County 5

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* 11. Please demonstrate HOW this person is collaborative and thinks and acts regionally. Please be specific and offer as much information as you can. This is the question to which the selection committee will pay most attention.

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* 12. Please include any additional comments you feel may be helpful to the selection committee: