Elizabeth B. Wells Memorial Award

Fields marked as * are mandatory and those marked as ** are required to be entered to submit the form

Nominee Information

Prefix:

Nominee's First Name: *

Middle initial/name:

Nominee's Last Name: *

Suffix:

NAHRO Member ID# (if known):

Commissioner Title:

Agency**:

Street Address1**:

Street Address2:

City**:

State**:

Postal Code**:

Country**:

NAHRO Region**:

Phone**:

If country is USA, telephone number should be in the format 555-555-5555

Extension:

If country is USA, extension should be of the format 5555

Fax:

If country is USA, fax should be of the format 555-555-5555

Nominee's Email**:

Judging Categories

Address each of the topics below. Recipients will be selected on the basis of their contributions in areas 1 through 4. Within each of the following topics, list the achievements and actions, in reverse chronological order, with the most recent first. Nominees must receive an average score from the jury of at least 70 points to be considered for receipt of the award.

1. Community Leader: the candidate's ability to persuade the community at-large that it must provide the support and assistance necessary for housing and community development programs to continue.[ 0-30 points]**

1. Community Leader**:

2. Advocate: the candidate's ability to articulate the importance and purpose of the authority's efforts. [0-30 points]** :

3. Public Relations Officer: the candidate's ability to communicate effectively to the press about the authority's accomplishments, programs, policies, and future plans. [0-20 points]**:

4. NAHRO Service: the candidate's service to NAHRO through participation at the Chapter, Regional, or National level. [0-20 points]**:

5. List of awards and commendations**:

6. List of professional affiliations, including offices held.**:

Nominator Information

Prefix:

Nominator's First Name: *