2022 Leader of the Year Nomination

Nominee First Name

Nominee Last Name

Employer

Title

Business Address

Address Line 1

Address Line 2

City

Country

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State/Province

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Zip Code

Nominee Email

Nominee's LLC Graduation Year if applicable

Part I

How has this individual developed and engaged present and future leaders to become committed to social, economic and civic excellence in Lake County?

Advancing the LLC Mission

Part II- Leadership

The nominee should be making an impact to the Lake County community outside of the scope of her/his professional position. Identify specific accomplishments through the nominee’s leadership that has impacted Lake County beyond their professional position and benefited the larger community.

Leadership Lake County Values Demonstration

Part III – Leadership Accomplishments

The nominee should be making an impact to the Lake County community outside the scope of her/his professional position.

• List of organizations with which your nominee is involved within the last five years.

• Do/did they hold an office within any of the organizations?

• Length of time they have been involved in the organizations.

• Identify specific accomplishments.

Leadership Accomplishments

Submitted by a Leadership Lake County Trustee, Active Alumni, or Current Class Participant

Nominator First Name

Nominator Last Name

Date

LLC Graduation Year

Phone

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Your nomination has been received!

Thank you for submitting a nomination! The selection committee will meet in April to determine this year's honoree and the award will be presented at the Leadership Celebration on May 29th at St. Noel's Banquet Center. Please check our website for the link to make a reservation to join us that evening!

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