THE 2015 ROBERT W. TEETER AWARD NOMINATION FORM Nominations are due Friday, March 20th at 5pm. To nominate an individual for the 2015 Robert W. Teeter Award, a written statement must be submitted to the Pav YMCA. The written statement should be detailed and clearly outline how the candidate has influenced and dedicated themselves to our community. Additional information may be submitted if desired. Selection of the award recipient is based on this written statement. The recipient of the 2015 Teeter Award will be notified by the end of March. The Teeter Award will be presented on Friday, May 8th at the Pav YMCA’s Annual Teeter Award Celebration and Dinner Dance. NOMINATION I submit the individual below as a nominee for the Pav YMCA’s 2015 Teeter Award for outstanding service in the communities of Berwyn, Cicero, Stickney, Lyons, Forest View, Riverside and North Riverside. Candidate's Name: Submitted by: _____ Phone: Candidate's Qualifications: I feel this person is qualified for consideration based on the following: Completed forms and written statement must be received by 5pm on Friday, March 20th, 2015. Submit written statement and nomination form to: PAV YMCA Attn: Jamie Kucera, Executive Director/CEO 2947 S. Oak Park Ave., Berwyn, IL 60402 Email: [email protected] or Fax: 708.749.7793
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