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Board Member of the Month Award Submission Form

Sponsored by Points of Light and BoardSource

Honoring Excellence in Nonprofit Board Service


APPLICATION & CRITERIA

I. Nominator - Tell us about you:



II. Nominee - Tell us about your nominee:
First Name: *
Last Name: *
Title:
Organization:
Phone: *
Address: *
City: *
State/Province: *
Zip: *
Email: *


III. Nominee's Story:
Please describe in 1,000 words or less why you believe the nominee should be selected as the Board Member of the Month. In your answer, please include the following:
  • LEADERSHIP: What skills and talents does the nominee display in his/her role on the board that leads you to describe him/her as an exceptional nonprofit board leader?
  • COMMITMENT: How has the nominee demonstrated his/her strong commitment to the organization and to exceptional board leadership?
  • IMPACT: How has the nominee’s leadership led to improvements within the organization and/or to advancement of the organization’s mission?
Nominee Impact:
IV. References:
As a part of the nomination process, references must be provided to verify the scope and extent of the nominee's activities. References should be persons familiar with the board service activities for which the nomination is made and should not include the nominee or any person related to the nominee. Other references may be requested if necessary.

Reference #1:
First Name: *
Last Name: *
Email: *
Phone: *
Reference #2:
First Name: *
Last Name: *
Email: *
Phone: *
Reference #3:
First Name:
Last Name:
Email:
Phone:

V. Criteria for Judging:
  • Leadership: the nominee demonstrated excellence in board leadership.
  • Commitment: the nominee showed a strong commitment to their organization, and to excellence as a board leader.
  • Impact: the nominee’s efforts led to a specific, positive impact on the organization and/or a measurable advancement of the organization’s mission.