Mail completed nomination form to Chapter Office: 
Awards Nomination
Sierra Club Angeles Chapter
3250  Wilshire Blvd. Suite 1106, Los Angeles, CA 90010-1904 
Attn: George Watland

Nomination deadline is FRIDAY, NOVEMBER 1, 2019, preferably by email. Entries will be accepted any time before that deadline, THE SOONER THE BETTER. 

Current Angeles Chapter Executive Committee members who were elected At-Large 
and Awards Committee members are not eligible for awards. A recipient of one or more past Angeles Chapter awards is still eligible for any Chapter award. In addition, deceased Sierra Club members may not receive posthumous awards. 

Any Sierra Club member, Chapter Group/Section/Committee/Task Force Entity may make a nomination.

If you have any questions please contact Awards Committee Chair:
Cathy Kissinger
Email: ckissinger105@verizon.net
Phone: 818-352-3361

NOMINATION FORM
FOR ANGELES CHAPTER ANNUAL AWARDS 2019
to be presented at the Awards Banquet on May 3, 2020

Date: ____________________ 

We wish to nominate: ________________________________________________________
for the following award (only check one): 
_____ CV Chester Versteeg Outings Award 
_____ DS Donna Specht Fundraising Award 
_____ EB Elna Bakker Nature Interpretation 
_____ IC Irene Charnock Office Service Award 
_____ LR Lori and Robin Media Award 
_____ LS Lifelong Service Award 
_____ LH Linda Hoyer Chapter Staff Award 
_____ PB Phil Bernays Service Award 
_____ PS Political Service
_____ WH Weldon Heald Conservation Award 

_____ CM Citation of Merit 
_____ EA Extraordinary Achievement Award 

_____ CS Conservation Service Award 
_____ OS Outings Service Award 
_____ SS Special Service Award 
_____ MF Membership & Fundraising Service Award
_____ SM Special Media Award 
_____ PP Special Public Policy Award 
_____ SC Special Conservation Award 

ADDRESS OF NOMINEE: 

TELEPHONE ( ) 

E MAIL: 

MEMBER SINCE (date) (If you do not know, we can research for you) 
SIERRA CLUB #
EXPIRATION DATE
Details of Service:   What accomplishments Qualify the nominee for this award?
Complete paragraphs, please, no bullets.  Between 100-400 words

Additional personal information (i.e. profession, previous chapter awards) 

Nomination submitted by: 

(position) of (what) group, section, committee, task force (please circle appropriate entity) 
Does your Group/Section/Committee support this nomination.  Yes  or No

Telephone:  ________________________ 

E mail: _________________________________________________________________