Rotary Community Awards Ceremony


Grass Valley - Grass Valley South - Nevada City 49er Breakfast - Nevada City - Penn Valley      

Exit Survey
Questions marked with a * are required
100%
The committee asks that each Club submit nominations* for three awards.
*Nominees can be Rotarians as well as non-Rotarians. 

Deadline:  February 4th  

Please complete this form and Click  DONE at the end.
Your survey input will be displayed.  Use the printer icon in the upper right corner if you want to print a copy. You will also receive an email copy. 

Contact James Arbaugh at  [email protected] or 530 272-1266 if you have questions
Rotary Club Contact
Rotary Club submitting nomination
Name of Rotarian completing this survey
Email Address for Rotarian
Phone number in case we have questions about your nomination form
Citizen of the Year
Citizen of the year is a person who exemplifies the motto "Service above self" through their leadership in our community.  This person gives back generously time and time again of their heart, talent and resources.
Nominee:
Criteria
Number of years in Western Nevada County
Considering the Object of Rotary and the Four-Way Test, please share reasons why you have selected this nominee.
Volunteer of the Year
Volunteer of the year is a person who exemplifies the motto "Service above self" in our community.  This person gives back generously time and time again through volunteering their time and talent.
Nominee:
Criteria
Number of years in Western Nevada County
Considering the Object of Rotary and the Four-Way Test, please share reasons why you have selected this nominee.
Lowell Robinson Business Person of the Year
Business Owner's Name
Business Name
Business Address
Business Web Address
Business Phone Number
Number of Years in Western Nevada County
Please answer the following questions regarding the business mentioned above.
1. How does this business exemplify the motto "Service Above Self"?
2. Please give an example of how this business exemplifies the "Four Way Test" (1. Is it the Truth? 2. Is it Fair to All Concerned? 3. Will it build good will and better friendships?  4. Will it be beneficial to all concerned?)
3. Please elaborate on any community service done by this business.
4.  Please give examples about the quality of products and services provided by this business.
5. How does this business support other local businesses?
Thank you!
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