MGEC AWARD NOMINATIONS ONLINE FORM

Golden Slide Rule & Distinguished Citizenship Awards
Please complete the information below, and also include a statement (please limit to 800 words or less) detailing the specific contributions in the category(s) for which you are nominating this person.  When you are finished click "SUBMIT".  Or if you prefer, print a blank application and mail or fax the completed application to:  MGEC Awards Committee, 475 Etna Street, Suite 11, St. Paul, MN 55106-5845, fax number 651-774-9576. 

Award which you are nominating this person for (check one):

Golden Slide Rule Award             Distinguished Citizenship Award

                          Category(s) (choose one or more - see "Guidelines")

 Golden Slide Rule Award:                 Distinguished Citizenship Award:  
A) Technical Achievement           A) Service in local, state or national politics
B) Societal Involvement                B) Service in community, charitable or civic activities
C) Partnerships                              C)Volunteer Work
 D) Papers Submitted                     D)Military Service 
E) Scholastic Achievement

Nominee Information: 

Name                     Job Title

State Agency     Work Unit

Work Address     Work Phone

Email Address

Nominator Information:

Your Name                     Job Title

State Agency     Work Unit

Work Address     Work Phone

Email Address

Statement (800 words or less):
Describe below specific contributions as outlined for the category(s) for which you are nominating this person.  Your statement MUST be limited to 800 words or less for submission of the form to be successful.
 

               THANK YOU!  YOU SHOULD RECEIVE A CONFIRMATION FROM MGEC WITHIN A DAY OR TWO.
                              PLEASE CONTACT US IF YOU DO NOT RECEIVE CONFIRMATION, OR IF YOU HAVE QUESTIONS!