Distinguished Service Award & Award of Honour Nomination

Name of Nominator*

First Last

Zone*

Name of Nominee*

First Last

Nominee's Service/Agency*

Nominee's Phone*

Cell number is prefered

Nominee's Email*

Enter Email Confirm Email

How many years has the nominee been involved with the LETR?*

Which award are you nominating him/her for?*

Have you read the award(s) description and confirmed this nominee meets the specific requirements?*

Please provide his/her BIO and be as detailed as possible.*

Please describe any leadership positions within the LETR this nominee had held.*

Please describe the nominees fundraising history.*

Any additional information you wish to provide. The more details the better!

District Sites