2019 Distinguished Non-Profit Leader of the Year Award

Thank you for nominating an outstanding non-profit for a Montgomery County Chamber of Commerce recognition. These awards will be presented at the Chamber Annual Meeting on December 5, 2019.

Please note, an awards committee member may contact you for more details on your nominee.

Help us recognize our local businesses leaders. Please include as much of the following information on your nomination as you can.

Please submit your nomination for the Distinguished Non-Profit Leader of the Year Award based upon the following:
- Nominee has demonstrated excellence in their profession.
- Nominee has ideally been an active Chamber member for 3 years.
- Nominee has often gone the extra mile to get involved in programs and activities that benefit our local community.
- Nominee displays leadership, initiative, creativity and dedication within their field.
- The nominee inspires others to get involved or make a difference in the lives of others.

Nominations to date:

MCCC Previous Winners (ineligible for 3 years)
2018 - Michael Mabry, DO, Hope to Walk
2017 - Michelle Brauns, Community Health of the NRV

Nominee Name

First Name *

Last Name *

Nominee Organization or Company *

Nominee Address

Address Line 1 *

Address Line 2

City *

Zip/Postal Code *

Nominee E-Mail Address *

Nominee Phone Number *

Your Name

First Name *

Last Name *

Your Organization *

Your Address

Address Line 1 *

Address Line 2

City *

Zip/Postal Code *

Your E-Mail Address *

Your Phone Number *

In the comment box below please write a summary (200 words minimum) of the ways in which you believe your nominee meets the criteria of the award. Feel free to include any additional information that you find relevant - even if it is not included in the scope of the award category. *

Does the MCCC have permission to disclose your authorship of this nomination? *

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Signature (By signing I certify that the information presented in this survey is accurate): *

Date (MM/DD/YYYY): *

Format: MM/dd/yyyy

2019 Distinguished Non-Profit Leader of the Year Award

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