A sculptured engraved eagle is presented to the winner and honorable mention recipients.
Recognizing an independent
agent for extraordinary
service to others
A sculptured engraved eagle is presented to the winner and honorable mention recipients.
Rough Notes invites its readers to nominate independent agent candidates for the 2002 Rough Notes Magazine Community Service Award. The nomination process is quite easy--simply complete the Nomination Form following this article and include all supporting documentary information. Send the completed nomination form (on page 16 of this issue) and supporting documentation to Rough Notes magazine on or before December 31, 2001.
Walt Gdowski, president and CEO of The Rough Notes Company, says: "Our goal is to annually recognize an independent agent for his or her special community service project and provide funds for the agent's special project. And, we sincerely hope that this award recognition will encourage other agents to help others as well. I appeal to insurance agents throughout the country to nominate a deserving agent for his or her service to others."
The winner of the Rough Notes Magazine Community Service Award will receive a large sculptured engraved eagle and a replica of the $5,000 check to be given, in the agent's name, to his or her community service project. Honorable Mention recipients will receive a smaller, sculptured engraved eagle and a replica of the $1,000 check to be presented to their community service project. Winners will be the guests of Rough Notes magazine at the annual awards ceremony to be held in late February 2002, in Indianapolis, Indiana, in conjunction with the 13th Annual Rough Notes Magazine "Marketing Agency of the Year" award dinner.
Rough Notes magazine will publish a complete article on the winning Community Service Award recipients in the April 2002 issue of the magazine. Again, we encourage agents to use the Nomination
Form on page 16 to nominate a deserving independent agent for his or her service to others. And, thank you for improving the lives of so many people through your own selfless acts of service. *
Award Conditions and Prerequisites
PURPOSE: To recognize and award an independent property/casualty broker, agent or agency that has demonstrated extraordinary community service within his/her/their local, regional or national community. And, to present the winning community service project with a check in the amount of $5,000 dollars to help further its special cause(s).
Criteria: Nominees will be judged on their overall contribution (funds raised, people helped, volunteerism, etc.) to their community service project and/or initiative, and the positive impact (both short-term and long-term) that their efforts have made toward their community service project.
Nomination Period: Nominations will be accepted at the offices of Rough Notes magazine by U.S. mail, overnight delivery or hand delivery up to and including Monday, December 31, 2001. No nomination forms will be accepted after Monday, December 31, 2001. Please note that no facsimiles will be accepted.
Conditions:
1. Nominators must complete the nomination form in its entirety and provide all supporting documentation;
2. All nomination forms and supporting documentation must be received at the offices of Rough Notes magazine no later than December 31, 2001;
3. No facsimiles will be accepted;
4. All nomination forms and supporting documentation become the exclusive property of Rough Notes magazine. Further, the nomination form and supporting documentation may be used at the sole discretion of Rough Notes magazine to publicize the award and award recipient, and to promote the Community Service Awards program;
5. A letter from the community service project verifying and describing the project must accompany the nomination form;
6. Incomplete nomination forms or nomination forms without supporting documents will not be considered;
7. Nominators may nominate themselves or their agency.
Selection: Designated individuals from the Rough Notes Company and selected others will review all nomination forms and supporting documentation and select one winner and up to four honorable mention recipients. The winner and honorable mention recipients will be honored and presented with their awards at the Rough Notes magazine awards ceremony in Indianapolis, Indiana, in conjunction with the 13th Annual Rough Notes Magazine "Marketing Agency of the Year" award dinner. A representative of the winning community service project will also be invited to attend this function to be honored and presented with a check.
Awards:
1. The winning community service project will be presented with a check in the amount of $5,000 in the name of the award recipient.
2. The winning broker, agent or agency will be presented with a sculptured engraved eagle and a reproduction of the check to the community service project.
3. Honorable mention recipients will be presented with a sculptured engraved eagle and their community service organization wil receive a check for $1,000.
4. Rough Notes magazine will publish an article to publicize the community service project, the award winner and the honorable mention recipients.
Mailing: All nomination forms and supporting documents are to be sent to or received at:
The Rough Notes Company
Attn: Community Service Award
11690 Technology Drive
Carmel, Indiana 46032-5600
Deadline: December 31, 2001 Current Date: / /
I. Nominee Information
Nominee: * Broker * Agent * Agency (please indicate one only)
Nominee Name:
(last) (first) (middle initial)
Agency Name:
Agency Address:
(Street or P.O. Box)
(City) (State) (ZIP)
Telephone: ( ) Fax: ( )
E-mail:
II. Community Service (Charity) Information (required)
Charity Name:
CharityAddress:
(Street or P.O. Box)
(City) (State) (ZIP)
Charity Telephone Number: ( ) Fax: ( )
Charity Contact Person:
(Name & Title)
III. Community Service Project Required Information:
Please explain why your nominee should be considered for the Community Service Award by providing the following information and documents:
1. Describe (in detail) your nominee's local, regional or national community service project(s) or initiative(s) to include the short-term and long-term impact on the specific community.
2. Attach pertinent documents to support your nominee which may include, but is not limited to, newspaper articles, citations, brochures, videos, press releases, testimonials or other information germane to this award.
3. Attach a letter from the community service project (charity) verifying and describing the foregoing.
4. Attach your nominee's resume or biographical information.
5. Attach any other pertinent information or documents that will aid in the selection of your nominee.
IV.Nominator Information (required)
Name of Nominator:
Agency or Company Name:
Address:
(Street or P.O. Box)
(City) (State) (ZIP)
Telephone: ( ) Fax: ( ) E-mail:
V. Filing Information
1. All nomination forms and supporting documentation must be received at The Rough Notes magazine offices by December 31, 2001;
2. Incomplete nomination forms will not be considered;
3. Supporting documentation must accompany the nomination form;
4. All nomination forms and supporting documentation become the exclusive property of Rough Notes magazine;
5. No facsimiles will be accepted;
6. Send completed nomination form and supporting documents to:
The Rough Notes Company
Attn: Community Service Award
11690 Technology Drive
Carmel, IN 46032-5600