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1 Mary Hammack, Regional Awards Chair Home: (303) or January 6, 2017 MEMORANDUM FOR: REGIONAL BOARD OF DIRECTORS FROM: MARY HAMMACK, Rocky Mountain Regional Awards Chair SUBJECT: Call for Regional Award Nominations DUE: FEBRUARY 10, 2017 Last year there were several criteria revisions made within our Regional Awards Program. The Awards Program consists of the nine (9) awards, eight of which are for FEW members only. The Unsung S/Hero in Federal Service Award is one of a kind that includes all active and retired federal employees within the Rocky Mountain Region. Each award category and its criteria follow the FEW National Awards programs (National) and the timeframes are identical as well. The Regional Awards Nominations coverage dates begin January 31, 2016, through January 1, The coverage dates were changed because, as of January 1, 2016, National s revised criterion for the Best Chapter Newsletter Award specifically requires a copy of the approved from the National s Publications, Policy and Review Committee (PPRC). The should indicate the newsletters have been approved for release with edits corrected and must be attached to the submission for the Chapter Newsletter Award, especially if the newsletters are being forwarded to National for an Award. All newsletter packets submitted without the PPRC will ONLY be considered for the Regional Award eligibility. Also, the Overall Outstanding Chapter Achievement Award criterion was revised to more accurately describe the required information. The awards criteria and nomination forms for each of the following awards are attached. 1. Best Chapter Newsletter Award 2. Best Chapter Programs Award 3. Best Chapter Fundraising Program Award 4. Membership Award 5. Best Chapter Legislative Program Award 6. Overall Outstanding Chapter Achievement Award 7. Outstanding Individual Member Achievement Award 8. Unsung S/Hero Award (Federal Service Award) 9. Rocky Mountain Regional Lifetime Achievement Award Please give this your priority attention. The due date for the nomination forms has a 30-day turnaround. This will give the committee adequate time to review each submitted nomination. Please prepare the nomination(s) and submit completed nomination packages (signed forms, attachments, etc.) via electronic mail by the deadline date of February 10, All committee members listed below must receive the nominations packages by 5:00 p.m. MST, February 10, The Award Winners will be announced at the March 24, 2017, Spring RTP. Mary Hammack Nancy Haberkorn Peggy Anderasen Diana Huffman Hm: (303) Hm: (303) Hm: (801) Cell: (720)

2 Each year as in past years, our Chapters and members continue doing excitingly new and innovative things. Please take time to reward yourselves and your members! If you have any questions please call me. We look forward to making this an outstanding awards year and to receiving nomination packages from each and every one of you! Attachments follow. [Type text] [Type text] [Type text] 2

3 2017 Regional Awards Program ROCKY MOUNTAIN REGION [Type text] [Type text] [Type text] 3

4 BACKGROUND INFORMATION The Rocky Mountain Regional Awards Program was developed years ago to recognize the outstanding efforts of Chapters and members in the Region. We believe that there is a lot of talented work and effort taking place throughout the Region and this awards program attempts to recognize those efforts. The categories and criteria were developed to mirror the National Awards Program, making the collection of data and information similar for both programs. Competition on the National level is very competitive. Chapters compete against over 100 other Chapters for National recognition. On the Regional level, the number of Chapters competing is much smaller, which affords all of the Chapters in the Region a chance to be recognized for their efforts. MINIMUM QUALIFICATIONS 1. Chapters submitting awards nominations must be in good standing, per the National Policies and Procedures Manual (NPPM). 2. Chapters submitting awards nominations must have submitted timely quarterly reports as outlined in the NPPM. BASIC CRITERIA ELIGIBILITY: The submitted award nominee (Chapter or Individual) must be in good standing per the NPPM. All Rocky Mountain Regional Chapters and members meeting this eligibility requirement and the minimum qualification requirements are eligible to win awards. DUE DATE: Complete nomination packages must be received by all members of the Regional Awards Committee no later than February 10, 2017, and will cover the period January 31, 2016, through January 1, The only exception to the period of coverage is the Membership Award the timeframe is January 31, 2016, through February 8, The Nomination packages must be submitted by and received by the due date of February 10, 2017, no later than 5:00 p.m., MST. SELECTION: The Regional Awards Committee will select the winner from eligible nominations received by the submission date. PRESENTATION OF AWARDS: The Regional Award winners will be announced and presented at the Spring Regional Training Program (RTP). If the RTP is not held, the award will be presented at the next monthly meeting of the winning Chapter after the RTP. AWARD CATEGORIES Best Chapter Newsletter Award Best Chapter Programs Award Best Chapter Fundraising Award Membership Award Best Chapter Legislative Program Award Overall Outstanding Chapter Achievement Award Individual Member Achievement Award Unsung S/Hero Federal Service Award Rocky Mountain Region Lifetime Achievement Award [Type text] [Type text] [Type text] 4

5 2017 ROCKY MOUNTAIN REGIONAL AWARD BEST CHAPTER NEWSLETTER PURPOSE: To recognize the Chapter with the most outstanding dissemination of information to its Chapter members in the form of a newsletter. CRITERIA: The award package for Best Chapter Newsletters should be submitted on the basis of exceptional performance in the following areas: 1. Timeliness: Newsletters must have been distributed regularly and routinely (no less than quarterly) and in a timely manner based on content. 2. Informative: Newsletters provide up-to-date information that includes the following: Articles on legislation actions/voting, diversity/cultural awareness and other National FEW goals, etc.; Articles on Chapter meetings and activities, fund raisers, Regional and National FEW news, and articles on membership with application forms. 3. Easy-to-read: Newsletters should be written in a manner so that all Chapter members clearly understand issues, editorials, etc. Unless the Chapter is comprised of members from a single agency, acronym usage should be at a minimum, or very clearly defined. 4. Layout: Newsletters should be aesthetically pleasing with minimal continuation breaks. Although color prints will be considered, they will not overshadow other newsletters without that capability. ADDITIONAL SUBMISSION REQUIREMENT: In addition to the nomination form, submissions for this award must include copies of at least four (4) newsletters published during the nominating period. PLEASE NOTE: Beginning Regional Awards Nominations cycle and as of January 1, 2016, the Best Chapter Newsletter Award will require ALL Chapter s Newsletters to follow National s revised criterion for the Best Chapter Newsletter Award, which specifically requires a copy of the approved from the National s Publications, Policy and Review Committee (PPRC) for each newsletter(s). The should indicate the newsletters have been approved for release with edits corrected and must be attached to the submission for the Chapter Newsletter Award Nomination, especially if the newsletters are being forwarded to National for an Award. All newsletter packets submitted without the PPRC will be considered ineligible. For the Rocky Mountain Regional Newsletter Award, all newsletter packets without the PPRC will ONLY be considered for the Regional Award eligibility. [Type text] [Type text] [Type text] 5

6 NOMINATION FORM 2017 ROCKY MOUNTAIN REGIONAL BEST CHAPTER NEWSLETTER AWARD Date Submitted: Chapter Name and Address: Chapter Contact Name, Phone Number and Name: Phone (day and evening): address: Describe accomplishments and activities in these categories. 1. Timeliness: 2. Informative: 3. Easy-to-Read: 4. Layout: 5. Other - (Any other information you consider pertinent): Note: Attach copies of four (4) newsletters. SIGNATURE OF CHAPTER PRESIDENT: Note: Attach additional pages as needed. [Type text] [Type text] [Type text] 6

7 2017 ROCKY MOUNTAIN REGIONAL AWARD BEST CHAPTER PROGRAMS PURPOSE: To recognize the Chapter who, through their programs, has contributed the most in supporting and promoting the goals of Federally Employed Women. CRITERIA: The award package for Best Chapter Programs should be submitted on the basis of exceptional performance in the following areas: 1. Pertinence to Federal employment and geared to all grade levels. Programs should have covered FEW s four focus areas, which include Diversity, Compliance, Training and Legislation. Programs could also cover affirmative action, elimination of discrimination, cultural awareness; legislative issues related to federal government; career development focusing on career strategies to enhance personal and professional growth, development and effectiveness. 2. Pertinence to women s issues (e.g. Legislative Issues, Voting, Finances, Health Issues, Safety issues, etc.) 3. Regularity of programs number of monthly programs and at the very least four per year. 4. Advance planning of programs (e.g. beginning at program year, six months or two months ahead) and geared to current events (e.g. current personnel issues, other employment issues, etc.) 5. Publicity how programs are advertised (in Chapter and other newsletters; flyers/posters to members and placed on bulletin boards and other strategic places; through ; over the public address system; etc.) Sample copies of publicity methods must be attached to the application form. 6. Pertinence to chapter needs and community (e.g. specific Chapter needs and issues; membership, fundraising, Chapter officer training, new member orientation and community support) 7. Other (Any other information you consider pertinent.) [Type text] [Type text] [Type text] 7

8 NOMINATION FORM 2017 ROCKY MOUNTAIN REGIONAL BEST CHAPTER PROGRAMS AWARD Date Submitted: Chapter Name and Address: Chapter Contact Name, Phone Number and Name: Phone (day and evening): address: Describe accomplishments and activities in these categories. 1. Pertinence to federal employment and geared to all grade levels. Programs should have covered FEW s four focus areas, which include Diversity, Compliance, Training and Legislation 2. Pertinence to women s issues (e.g. Legislative Issues, Voting, Finances, Health Issues, Safety issues, etc.) 3. Regularity of programs 4. Advance planning of programs geared to current events 5. Publicity how programs are advertised (in Chapter and other newsletters; flyers/posters to members and placed on bulletin boards and other strategic places; through ; over the public address system; etc.) 6. Pertinence to Chapter needs and community (e.g. specific chapter needs and issues; membership, fundraising, Chapter officer training, new member orientation and community support) 7. Other - (Any other information you consider pertinent). SIGNATURE OF CHAPTER PRESIDENT: Note: Attach additional pages as needed. [Type text] [Type text] [Type text] 8

9 2017 ROCKY MOUNTAIN REGIONAL AWARD BEST CHAPTER FUNDRAISING PROGRAM PURPOSE: To recognize the Chapter who, through their efforts, has planned, organized and executed the best fundraising program in the Region. CRITERIA: The award package for Best Chapter Fundraising Programs should be submitted on the basis of exceptional performance in the following areas: 1. Type of fundraiser 2. Consistency with methods endorsed by FEW and that support FEW s goals and mission (i.e., seminars/training days; craft shows/bazaars; publications; agency appreciation events, etc.) 3. Amount of money raised (net profit). The Award Committee will calculate the percent of net profit (gross profit, less expenses, divided by gross profit) using the following figures supplied by the Chapter: a) Total amount of money collected (gross profit) b) Total expenses 4. Consistency of use of profits with purposes of Chapter/Regional/National FEW objectives. Examples: Using the profits for financial support of Chapter officers and members to attend RTPs and NTPs; funding speakers and events; educational scholarships to members; educational scholarships to others; support of community and charities, etc. 5. Other (Any other information you consider pertinent) [Type text] [Type text] [Type text] 9

10 NOMINATION FORM 2017 ROCKY MOUNTAIN REGIONAL BEST CHAPTER FUNDRAISING PROGRAM AWARD Date Submitted: Chapter Name and Address: Chapter Contact Name, Phone Number and Name: Phone (day and evening): address: Describe accomplishments and activities in these categories. 1. Type of fundraiser 2. Consistency with methods that support FEW s goals and mission (i.e., seminars/training days; craft shows/bazaars; publications; agency appreciation events, etc.) 3. Amount of money raised (net profit). The Award Committee will calculate the percent of net profit (gross profit, less expenses, divided by gross profit) using the following figures supplied by the Chapter: a) Total amount of money collected (gross profit) b) Total expenses 4. Consistency of use of profits with purposes of Chapter/Regional/National FEW objectives. Examples: Using the profits for financial support of chapter officers and members to attend RTPs and NTPs; funding speakers and events; educational scholarships to members and others; support of community and charities, etc. 5. Other (Any other information you consider pertinent) SIGNATURE OF CHAPTER PRESIDENT: Note: Attach additional pages as needed. [Type text] [Type text] [Type text] 10

11 2017 ROCKY MOUNTAIN REGIONAL AWARD CHAPTER MEMBERSHIP AWARD PURPOSE: To recognize the Chapter that has achieved outstanding membership numbers including a high member retention rate and an increase in new membership by the largest percentage in the Rocky Mountain Region during the award period. ADDITIONAL ELIGIBILITY CRITERIA: New Chapters must have a charter date not later that January 1 of the previous year. CRITERIA: The award package for the Regional Membership Award must include the Chapter s National Membership Rosters for January 2016 and January 1, The Awards Committee will calculate the figures for Items #1 and #2 below. Information regarding activities in Items #3 and #4 should be provided on the basis of exceptional performance in those areas. 1. Increase in membership. Increase in membership the percentage is based on the number of new members (from January 31 of the previous year to January 1 of the current year) divided by the number of ACTIVE members as of January 31 of the previous year 2. Retention of members. The percentage is based on the number of ACTIVE members on the current January listing less the new members (from January 31 to January 1), divided by the number of ACTIVE members as of January 31 of the previous year. 3. Member reclamation. Describe strategies used to reclaim former members. 4. Membership drives and strategies used. Describe efforts undertaken during the award period to gain, retain, or reclaim members (e.g.. each one bring one, special outings, contests, luncheons, etc.). ADDITIONAL SUBMISSION REQUIREMENT: In addition to the nomination form, submissions for this award must include a copy of the Chapter s January 2016 and January 1, 2017, National Membership Rosters. [Type text] [Type text] [Type text] 11

12 NOMINATION FORM 2017 ROCKY MOUNTAIN REGIONAL CHAPTER MEMBERSHIP AWARD Date Submitted: Chapter Name and Address: Chapter Contact Name, Phone Number and Name: Phone (day and evening): address: Describe accomplishments and activities in these categories. 1. Increase in membership. Increase in membership the percentage is based on the number of new members (from January 31 of the previous year to January 1 of the current year) divided by the number of ACTIVE members as of January 31 of the previous year 2. Retention of members. The percentage is based on the number of ACTIVE members on the current January listing less the new members (from January 31 to January 1), divided by the number of ACTIVE members as of January 31 of the previous year. 3. Member reclamation. Describe strategies used to reclaim former members. 4. Membership drives and strategies used. Describe efforts undertaken during the award period to gain, retain, or reclaim members (e.g.. each one bring one, special outings, contests, luncheons, etc.) Note: Attach a copy of your Chapter s January 2016 and January 1, 2017, National Membership Roster. SIGNATURE OF CHAPTER PRESIDENT: Note: Attach additional pages as needed. [Type text] [Type text] [Type text] 12

13 2017 ROCKY MOUNTAIN REGIONAL AWARD BEST CHAPTER LEGISLATIVE PROGRAM AWARD PURPOSE: To recognize the Best Legislative Program(s) by a Chapter who has provided timely and factual information to chapter members and taken an active role in making FEW s position on impending legislation known to national, state and/or local elected officials. CRITERIA: Chapter Legislative Programs should be nominated on the basis of exceptional performance in one or more of the following criteria: 1. Information Dissemination - Timely distribution of information and/or discussion of current legislative issues that impact women and/or affects all Federal employees, e.g., through Chapter Newsletters or Special Chapter Mailing/Fax/ or Telephone Tree to members and others in the federal community. 2. Legislative Activities - Activities that promote legislative awareness and/or involvement (e.g. Voter Registration, Letter Writing Campaigns, Phone Calls to Elected Officials, Get Out the Vote, etc.) 3. Training - Chapter Programs that feature elected legislators or speakers that address topics outlined in FEW s Legislative Agenda 4. Active Legislative Chair - The Chapter has designated and forwarded the name to Regional and National FEW of a Legislative Chair who serves as the liaison between the National Office and the Chapter. The Chair is proactive as evidenced by timely dissemination of information, writing newsletter articles, and/or developing and carrying out work plans that are proactive, innovative and educates and involves members. 5. Other (Any other information you consider pertinent, such as the promotion of and participation in the contribution to the visibility of FEW and the purpose of FEW [i.e. FEW Legislative Actions and Initiatives]). [Type text] [Type text] [Type text] 13

14 NOMINATION FORM 2017 ROCKY MOUNTAIN REGIONAL BEST CHAPTER LEGISLATIVE PROGRAM AWARD Date Submitted: Chapter Name and Address: Chapter Contact Name, Phone Number and Name: Phone (day and evening): address: Describe accomplishments and activities in these categories. 1. Information Dissemination: 2. Legislative Activities: 3. Training: 4. Active Legislative Chair: 5. Other - (Any other information you consider pertinent, such as the promotion of and participation in the contribution to the visibility of FEW and the purpose of FEW [e.g. FEW Legislative Actions and Initiatives]): SIGNATURE OF CHAPTER PRESIDENT: Note: Attach additional pages as needed. [Type text] [Type text] [Type text] 14

15 2017 ROCKY MOUNTAIN REGIONAL AWARD OVERALL OUTSTANDING CHAPTER ACHIEVEMENT AWARD PURPOSE: To recognize the Chapter that has excelled in at least three of these five award areas (Newsletter, Programs, Fundraising, Membership, and Legislative Program(s)). CRITERIA: In addition to the areas listed below, to be eligible for this award, nominees may not be more than 30 days delinquent in financial obligations region/national FEW during the current fiscal year. Financial obligation for purposes of awards is defined as any monies owed to national FEW or regions that have been mutually acknowledged by both parties as a valid debt or obligation (e.g. dues, etc.) Nominations should be submitted on the basis of exceptional performance in all of the following criteria: 1. The Chapter must have submitted nominations for and be judged to excel in at least three of the five chapter award categories. The Chapter does not have to place first to be judged as excelling in a category. 2. Responsiveness of the Chapter to the Regional Manager and Regional Officers, the FEW National office and National Officers; the timeliness of quarterly reports; responsiveness to legislative alerts; responsiveness to special requests; membership dues, newsletters, attendance at Regional Board meetings, participating in the RTP and NTP, response to Regional Action Items, etc. 3. Other special functions not covered by other categories (e.g., special efforts to support FEW s Four Focus Areas, Leadership Development efforts, unique measures to develop candidates for office, committee chairs, etc.) 4. Other activities which could include but are not limited to: a. Establishing and Accomplishing Annual Chapter Goals b. Timely dissemination of information to members c. Conducting Chapter Training Programs d. Impact of the Chapter on surrounding federal/private community (e.g., establishing rapport/networking with agency FWP Committee previously inactive or one without a positive communication link with FEW; getting federal agency to hire a permanent full or part-time FWPM; etc.) [Type text] [Type text] [Type text] 15

16 NOMINATION FORM 2017 ROCKY MOUNTAIN REGIONAL OVERALL OUTSTANDING CHAPTER ACHIEVEMENT AWARD Date Submitted: Chapter Name and Address: Chapter Contact Name, Phone Number and Name: Phone (day and evening): address: Describe accomplishments and activities in these categories. 1. Check the boxes that correspond to the Chapter Awards Submitted:!Newsletter!Membership!Programs!Legislative Program(s)!Fundraising 2. Describe Chapter s responsiveness efforts 3. Describe other special functions not covered by other categories 4. Describe any other activities, which could include but are not limited to the a. through d. criteria examples, that you feel are appropriate to this award. SIGNATURE OF CHAPTER PRESIDENT: Note: Attach additional pages as needed. [Type text] [Type text] [Type text] 16

17 2017 ROCKY MOUNTAIN REGIONAL AWARD OUTSTANDING INDIVIDUAL MEMBER ACHIEVEMENT AWARD PURPOSE: To recognize the individual member who has made the most outstanding contributions in Promoting the goals and objectives of Federally Employed Women. CRITERIA: Individual members should be nominated based on their contributions in the following areas. 1. Promoting National and Regional FEW initiatives. 2. Active participation in Chapter, Regional and National programs and activities. 3. Promotion of and participation in their Chapter's activities and in the achievement of Chapter goals. This includes, but is not limited to, Diversity, Compliance, Legislative, Public Relations, Fundraising, Membership, Programs, Meetings, etc. 4. Other - (Any other information you consider pertinent). NOMINATION INFORMATION: Any member of any Chapter in the Rocky Mountain Region may nominate an individual member for this award. [Type text] [Type text] [Type text] 17

18 NOMINATION FORM 2017 ROCKY MOUNTAIN REGIONAL OUTSTANDING INDIVIDUAL MEMBER ACHIEVEMENT AWARD Date Submitted: Member s Name and Address: Chapter: Contact Name, Phone Number and of Person Submitting this Award: Name: Phone (day and evening): address: Describe the member s accomplishments and activities in these categories. 1. Promoting National, Regional and Chapter FEW initiatives. 2. Active participation in Chapter, Regional and National programs and activities. 3. Promotion of and participation in, their Chapter's activities and in the achievement of Chapter goals. This includes, but is not limited to, Diversity, Compliance, Legislative, Public Relations, Fundraising, Membership, Programs, Meetings, etc. 4. Other - (Any other information you consider pertinent). SIGNATURE OF CHAPTER PRESIDENT: Note: Attach additional pages as needed. [Type text] [Type text] [Type text] 18

19 2017 UNSUNG S/HERO AWARD PURPOSE: To recognize a very special person in the federal service. The one who steps up when needed without concern for recognition or reward. The individual you can always count on to provide the help necessary to get the job done whether the task is small or large. One who consistently assists and/or serves with a Can Do attitude and exhibits a personal responsibility with a Positive Attitude, the one who always accomplishes your organization s goals and objectives. ONLY ONE AWARD RECIPIENT! CRITERIA: The individual in your organization should be nominated based on their contributions in the following areas. 1. Actively offering their service when needed without concern for recognition or reward. Constantly promotes a Can Do attitude. 2. Consistently exhibits integrity and personal responsibility with a Positive attitude on any assignments, projects, programs or activities of their organization. 3. Promotes an atmosphere of achievement and positive reinforcement while completing the goals and objectives in their organization whether in a team environment or achieved on their own. 4. Other Volunteer or off the job activities will be considered if the person nominating has first-hand knowledge of the nominee s services in meeting the goals at the outside organization(s), and; if the activities are stated as agency-sponsored or endorsed. (Any other information you consider pertinent). NOMINATION INFORMATION: Individual for this award must be a full time or part time federal employee in Colorado, Utah, Montana, Wyoming, North Dakota or South Dakota. The individual may be nominated by anyone who has first-hand knowledge of the nominee and the nominee s work, and they have permission from the nominee to submit the nomination. Self-nominations are not accepted. [Type text] [Type text] [Type text] 19

20 NOMINATION FORM 2017 ROCKY MOUNTAIN REGIONAL UNSUNG S/HERO AWARD Date Submitted: Nominee s Name: Title: Agency: Address: City/State/Zip: Phone: Nominee s Supervisor Name: Title: Phone: Contact Name, Phone Number and of Person Submitting this Award: Name: Title: Agency: Address: City/State/Zip: Phone: (day) (evening) Describe the member s accomplishments and activities in these categories. 1. Actively offering their service when needed without concern for recognition or reward. Consistently promotes a Can Do attitude. 2. Consistently exhibits integrity and personal responsibility with a positive attitude on any assignments, projects, or program activities of their organization s environment. 3. Promotes an atmosphere of achievement and positive reinforcement while completing the goals and objectives in their organization whether in a team environment or achieved on their own. 4. Other - (Any other information you consider pertinent). [Type text] [Type text] [Type text] 20

21 NARRATIVE (Note: Maximum ONE page) SUBMITTED BY SIGNATURE: [Type text] [Type text] [Type text] 21

22 ROCKY MOUNTAIN REGIONAL 2017 LIFETIME ACHIEVEMENT AWARD PURPOSE: This award is an overall achievement award to recognize an individual s achievements of regional significance during a period greater than one year. The person nominated must be one whose actions and leadership resulted in service to the organization at the Regional level to a degree above and beyond. This is a lifetime achievement award, and upon receipt of this award, an individual is not eligible for repeat award in the same category. CRITERIA: The lifetime achievement award is to recognize an individual for a sustained period of service by one whose action and leadership resulted in service to the organization to a degree of Regional/Chapter significance and beyond that required by office or their membership such as: 1. Rendering outstanding service to members in terms of her/his employment or training opportunities. 2. Providing innovative programs or projects 3. Sustained excellence in securing publicity for FEW policies or programs; and 4. Other significant contributions to enhance the cause of FEW NOTE: Reasons for the nomination must be fully documented and supported. [Type text] [Type text] [Type text] 22

23 NOMINATION FORM ROCKY MOUNTAIN REGIONAL 2017 LIFETIME ACHIEVEMENT AWARD Date Submitted: Chapter Name and Address: Chapter Contact Name, Phone Number and Name: Phone (day and evening): address: Describe accomplishments and activities in these categories. 1. Rendering outstanding service to members in terms of her/his employment or training opportunities. 2. Providing innovative programs or projects 3. Sustained excellence in securing publicity for FEW s polices or programs; and 4. Other significant contributions to enhance the cause of FEW 5. Other (Reasons for the nomination must be fully documented and supported) SIGNATURE OF CHAPTER PRESIDENT: Note: Attach additional pages as needed. [Type text] [Type text] [Type text] 23

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