NOMINATIONS FORM

Golden Slide Rule & Distinguished Citizenship Awards

Complete the information below, and include a statement (please limit to 800 words or less) regarding specific contributions as outlined for the category(s) for which you are nominating the person.  The Award will be presented at the MGEC Annual Meeting. 

Check one:       Golden Slide Rule Award _____                      Distinguished Citizenship Award _____

Check one or more categories from Guidelines:     A ____     B ____     C ____     D ____     E ____

Nominee:

Name:_______________________________________ Job Title:________________________________

Agency:_______________________________ Work Unit:_________________________________

Work Address:_______________________________ Work Telephone:___________________________

Nominated by:

Name:______________________________________ Telephone:_______________________________

Address:_____________________________________________________________________________

Signature of Nominator:____________________________________  Date: _______________________

Describe below or on a separate sheet specific contributions as outlined for the category(s) for which you are nominating this person.  Mail completed application to:  MGEC Awards Committee, 475 Etna Street, Suite 11, St. Paul, MN 55106-5845, or fax to 651-774-9576.