Volunteer of the Year Nomination Form

VOLUNTEER OF THE YEAR AWARD CRITERIA AND NOMINATION FORM

VIEW LIST OF PREVIOUS WINNERS

CRITERIA

A) The recipient shall be a resident of the Ponca City area and a member of the Ponca City Area Chamber of Commerce.

B) The recipient should have achieved significant and general recognition as an outstanding Ponca City Volunteer in areas, such as, Chamber of Commerce, city volunteer activities, charitable organizations, business efforts and others.

C) The current chairman and staff of the Chamber of Commerce, elected public officials including City, County, State or Federal, and paid staff of community organizations, will not be considered for selection.

* Indicates required field

Nominee Name (First & Last) *

Chamber Membership Name *

Nominee Mailing Address *

Nominee Date of Birth *

Nominee Spouse's Name *

Number of Children & Ages *

Nominee Email *

Name and Address of Three Personal References:

Reference #1 *

Reference #2 *

Reference #3 *

Significant Contributions To The General Community Welfare And Development Of The City Of Ponca City.

Honors:

PLEASE LIST ALL HONORS: *

Activities:

ACTIVITIES 1. Civic Organizations (Jaycees, Rotary, Kiwanis, Lions, etc.) 2. Charitable Organizations (United Way and other non-profit organizations) 3. Other (such as church, youth organizations, etc.) *

EVIDENCE OF LEADERSHIP ABILITY (Indicate present and prior years.) (Any other information that would aid the nominee or any information that would not go into the above area.)

Comment *

PLEASE SIGN YOUR NAME *

NOMINATIONS MUST BE RECEIVED AT THE PONCA CITY AREA CHAMBER OF COMMERCE OFFICE, 420 EAST GRAND, P.O. BOX 1109, PONCA CITY, OK 74602 BY TUESDAY, NOVEMBER 29, 2023

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THE PONCA CITY CHAMBER OF COMMERCE

Growth. Prosperity. Integrity.

We are here to help you and your business connect to Ponca City.

Volunteer of the Year Nomination Form

NOMINATIONS MUST BE RECEIVED AT THE PONCA CITY AREA CHAMBER OF COMMERCE OFFICE, 420 EAST GRAND, P.O. BOX 1109, PONCA CITY, OK 74602 BY TUESDAY, NOVEMBER 29, 2023

THE PONCA CITY CHAMBER OF COMMERCE

Growth. Prosperity. Integrity.

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