Athena Award Nomination Form

 

Instructions

The ATHENA Award Program celebrates the potential of all women as valued members and leaders of the community and recognizes those who support them.  the ATHENA Award honors individuals who strive toward the highest levels of professional accomplishment--women and men who excel in their chosen field, have devoted time and energy to their community in a meaningful way, and who also open paths so that others may follow.

 

The Criteria

ATHENA recipients must meet each of three specific criteria.  They must:

  • Demonstrate excellence, creativity and initiative in their business or profession

  • Provide valuable service by devoting time and energy to improve the quality of life for others in the community.

  • Assist women in reaching their full leadership potential

Completing the form

Nominations for the ATHENA Award must be submitted using this web-based nomination form or a paper form available through the Marion Area Chamber of Commerce (Phone: 740.382.2181).  In addition to this form, a resume may be submitted by mail to:  Marion Area Chamber of Commerce, 205 W. Center St., Suite 100,  Marion, OH 43302 or by fax to 740.387.7722.  Please review the nomination form carefully to ensure that comprehensive, quantitative information is supplied demonstrating the involvement, achievement and leadership accomplishments of your nominee.  The more complete the information provided, the more useful this form will be for those who judge this important award.

 

The process

A selection committee of prominent community leaders will review all nomination forms and select the ATHENA Award recipient.  The ATHENA Award will be announced on Monday, March 10, 2008 at the ATHENA Award Luncheon to be held at Carousel Convention Center, 2209 Marion-Waldo Rd. at 11:00 a.m..  Computerized forms will be returned via e-mail to the Marion Area Chamber of Commerce by hitting the submit button at the bottom of this form.  Paper forms are to be returned to the Marion Area Chamber of Commerce, 205 W. Center St., Marion, OH 43302.

 

Submission deadline is Monday, February 11, 2008!

 

Please fill out the form below and hit "Submit" when complete.

 

Today's Date           

 

NOMINEE INFORMATION                                                                                                                  

 

Nominee's Name     

Nominee's Title        

Nominee's Company

Business Address     

City                             State    Zip

Nominee's Bus. Ph.      Home Phone 

 

NOMINEE INFORMATION                                                                                                                  

 

Nominator's Name       

Nominator's Company  

Nominator's Phone            Nominator's e-mail       

 

Please complete the following information:

 

Professional Accomplishments.  Provide specific examples of how the nominee has demonstrated excellence, creativity, and initiative in their business or profession.  List professional recognitions, projects and achievements. 

 

 

Community Service.  Describe local, state and national level participation.  Include length of service and offices held in civic and service organizations, charitable activities, political pursuits, religious groups, chambers of commerce, merchants' associations, etc.

 

 

Assist women in reaching their full potential.  Provide specific examples of how the nominee has assisted women in reaching their full leadership potential and/or demonstrated support for their professional advancement.

 

 

Other memberships, achievements, awards, publications.  Nominees may already have been honored for service to their profession, industry, or community.  Please list any awards and honors received which support this nomination.

 

 

Additional information pertaining to criteria.  Discuss briefly any additional factors you feel are important for consideration of your nominee for the Athena Award.

 

 

Submission deadline:  Monday, February 11, 2008!

 

 Updated:  12/18/2007