Do You Know a Woman Who Has Do You Know a Woman Who Has Do You Know a Woman Who Has Made A Difference In Lake County? Do You Know a Woman Who Has Made A Difference In Lake County? of Made A Difference In Lake County? Made A Difference In Lake County? WOMEN dWOMEN i soft of inction WOMEN of d i s t i n c t i o n WOMEN of d i s t i n c t i o n WOMEN d i s t i n c t i o n distinction Women of Distinction identifies women who have made a difference in Lake County and who are representative role models as leaders Women ofinDistinction women Honorees who have will made difference their fieldsidentifies and community. beaprofiled in the Lake in Lake County and who areLife representative role models as and leaders County Suburban Magazine’s October issue recognized at Women of Distinction identifies women who have made a difference in their fields and community. Honorees will be profiled in the Lake an awards luncheon in October. in Lake County and who are representative role models as leaders Suburban Magazine’s October issue and recognized at Women of DistinctionCounty identifies womenLife who have made a difference in their fields and community. Honorees will be profiled in the Lake an awards luncheon in role October. in Lake County and who are representative models as leaders(use additional paper if Please fill out this form completely County Suburban Life Magazine’s October issue and recognized at in their fields and community. Honorees will be profiled in the Lake necessary) and by August 12, 2014. Additional forms can be an awards luncheon in return October. fill downloaded outOctober this formissue completely (use additional paper if County Suburban LifePlease Magazine’s and recognized at by visiting www.LakeCountyMagazine.com necessary) an awards luncheon in October.and return by August 12, 2014. Additional forms can be Please fill out this form completely (use additional paper if downloaded by visiting www.LakeCountyMagazine.com Today’s date: _____________________________________________________ necessary) and return by August 12, 2014. Additional forms can be Please fill out this form completely (use additional paper if downloaded by visiting www.LakeCountyMagazine.com Today’s date: _____________________________________________________ necessary) and return by August 12, 2014. Additional forms can be Education: A. Nominee’s Personal Information downloaded by visiting www.LakeCountyMagazine.com Today’s date: _____________________________________________________ Date: Thursday, October 30, 2014 _____________________________________________________ Name ___________________________________________________________ Education: A. Nominee’s Personal Information Today’s date: _____________________________________________________ _____________________________________________________ Organization/company/corp. _______________________________________ Time: 11:30 a.m. – 1:30 p.m. _____________________________________________________ Name ___________________________________________________________ Education: A. Nominee’s Personal Information _____________________________________________________ Title _____________________________________________________________ _____________________________________________________ Organization/company/corp. _______________________________________ Location: Hawthorn Woods Country Club _____________________________________________________ Name ___________________________________________________________ Education: A. Nominee’s Personal Information _____________________________________________________ Phone ___________________________________________________________ _____________________________________________________ Title _____________________________________________________________ _____________________________________________________ Organization/company/corp. _______________________________________ _____________________________________________________ Name ___________________________________________________________ Price: $35 per ticket Family: City of residence __________________________________________________ _____________________________________________________ Phone _____________________________________________________ Title___________________________________________________________ _____________________________________________________________ _____________________________________________________ Organization/company/corp. _______________________________________ Order online at lakecountywomenofdistinction.eventbrite.com _____________________________________________________ E-mail __________________________________________________________ Family: City of residence __________________________________________________ _____________________________________________________ Phone ___________________________________________________________ _____________________________________________________ Title _____________________________________________________________ _____________________________________________________ Hometown (childhood) ____________________________________________ _____________________________________________________ orE-mail call 630-427-6217 by October 22. Family: City of__________________________________________________________ residence __________________________________________________ _____________________________________________________ Phone ___________________________________________________________ Date of birth _____________________________________________________ _____________________________________________________ Hometown (childhood) ____________________________________________ _____________________________________________________ E-mail __________________________________________________________ Family: City of residence __________________________________________________ This year’s winners are: Please include bio/résumé/vita Date of birth _____________________________________________________ _____________________________________________________ Hometown (childhood) ____________________________________________ _____________________________________________________ E-mail __________________________________________________________ B. Achievements Amy____________________________________________ Serafin, Parks and Recreation Coordinator, Village of Fox Lake Please include bio/résumé/vita of birth _____________________________________________________ _____________________________________________________ Hometown (childhood) Date In the space below, please describe the nominee’s greatest personal, professional or job-related achievement. Honors or awards can be B. Achievements Please include bio/résumé/vita Melissa Haak, Creator and Editor, Little Lake County Date of birth _____________________________________________________ included as well as examples of a challenging problem solved, a major project completed or a product produced. In B. theAchievements space below, please describe the nominee’s greatest personal, professional or job-related achievement. Honors or awards can be Please include bio/résumé/vita Patricia Menoni, Owner/Administrator, _____________________________________________________________________________________________________________________________ as wellbelow, as examples of a challenging problem solved,personal, a major project completed or a product produced.Honors or awards can be In the space please describe the nominee’s greatest professional or job-related achievement. B. Achievements included Partners in Senior Care, Inc. _____________________________________________________________________________________________________________________________ ______________________________________________________________________________________________________________________________ included as well examplesgreatest of a challenging solved, a major project completed or a product produced. In the space below, please describe theas nominee’s personal, problem professional or job-related achievement. Honors or awards can be _____________________________________________________________________________________________________________________________ Jan Cline Leahy, Executive Director, ______________________________________________________________________________________________________________________________ ______________________________________________________________________________________________________________________________ included as well as examples of a challenging problem solved, a major project completed or a product produced. _____________________________________________________________________________________________________________________________ Career Resource Center, Inc. ______________________________________________________________________________________________________________________________ ______________________________________________________________________________________________________________________________ ______________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ ______________________________________________________________________________________________________________________________ Ellaine Sambo-Reyther, VP, Director, ______________________________________________________________________________________________________________________________ ______________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ Trust & Estate Services, BMO Private Bank ______________________________________________________________________________________________________________________________ ______________________________________________________________________________________________________________________________ ______________________________________________________________________________________________________________________________ The Women of Distinction Award will ______________________________________________________________________________________________________________________________ be presented to ten women who live or ______________________________________________________________________________________________________________________________ ______________________________________________________________________________________________________________________________ C. NominatorMary Seminara-Schostok, Appelate Judge, ORDER YOUR TICKETS TODAY! Suburban Life Magazine, Lake County 2014 Women of Distinction Awards Luncheon August 12, 2014 work in Lake County and the surrounding ______________________________________________________________________________________________________________________________ ______________________________________________________________________________________________________________________________ Second District Appellate Court *Name __________________________________________________________ C. Nominator communities. AugustFax: 12, 630-969-0258 2014 Dr. Kas Henry ______________________________________________________________________________________________________________________________ Title ____________________________________________________________ Mary Ross Cunningham, Commissioner, *Name __________________________________________________________ Mail: 1101 W. 31st Street, Suite 100 C. Nominator Keynote Speaker If Fax: you are unable to order 630-969-0258 August 12, 2014tickets online, please OrganizationLake ____________________________________________________ County Board District 9 Downers Grove, Il 60515 Title ____________________________________________________________ call 630-427-6217 for assistance. *Name __________________________________________________________ C. Nominator 1101 Fax: W. 31st Street, Suite 100 630-969-0258 August Mail: 12, 2014 Phone ___________________________________________________________ Attn: Kesley Rakers Organization ____________________________________________________ Title ____________________________________________________________ *Name __________________________________________________________ Downers Grove, Il 60515 Cathy Vincus, Director, Preserving Human Dignity Mail: Sorry, 1101no W.refunds. 31st Street, Suite 100 Fax: 630-969-0258 *Email: Executive __________________________________________________________ Email: [email protected] Phone ___________________________________________________________ Organization ____________________________________________________ Title ____________________________________________________________ Attn: Kesley Rakers Downers Grove, Il 60515 W. 31st Street, Suite 100 Email: [email protected] Attn: Kesley Rakers Downers Grove, Il 60515 Hosted by *Must include to be informed Village if Sponsors your nominee has been selected Alicia Dodd, Board Member, Homesteading Mundelein *Email: __________________________________________________________ Phone ___________________________________________________________ Attn: KesleyEmail: [email protected] *Must include to be informed if your nominee has been selected *Email: __________________________________________________________ Email: [email protected] Hosted by Keynote Sponsors Presenting Mail: 1101 *Must include to be informed if your nominee has been selected Eleanor Anne Sweet, President and CEO, Corporate Success Partners *Email: Phone__________________________________________________________ ___________________________________________________________ Organization ____________________________________________________ *Must include to be informed if your nominee has been selected Sponsors Keynote Keynote Sponsors Keynote Presenting Presenting Presenting Major Major Major Hosted by Suburban Life Suburban Life Suburban Life Suburban Life Hosted by MAGAZINE MAGAZINE MAGAZINE MAGAZINE adno=S0246
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