2016 Hazelett Award for
Leadership in Grantmaking
Background: The Hazelett Award for Leadership in Grantmaking was created in honor and memory of Susie Hazelett, a leader in Indiana’s philanthropic community for many years before her death from cancer in 2004. The award was established to recognize the efforts of an individual who displays character and leadership in philanthropy, including:
§ A giving spirit displayed by mentoring and nurturing professional development in others
§ A giver of time, talent and other resources
§ A strong professional with the highest of standards, integrity and creativity
Nomination Process/Guidelines: Only grantmaking members of Indiana Philanthropy Alliance can nominate staff, board or volunteers of a member organization. Current Alliance Board members are ineligible for nomination. Attach to the nomination form no more than two pages of narrative (packet may also include no more than two supporting documents such as letters of support, résumé, etc.) that describe:
§ Commitment: The nominee’s length of service in the field
§ Mentoring leadership: The nominee’s demonstrated leadership in mentoring and nurturing professional development in others
§ Impact: Examples of how the nominee has given of his/her time, talent and other resources
§ High standards/integrity/creativity: Examples of how the nominee has demonstrated these characteristics
Selection and Recognition Process: A volunteer five-member review panel of grantmakers representing geographic and membership diversity (including, whenever possible, the previous Hazelett Award recipient) will review all nominations and select the award winner. The Secretary of the IPA Board of Directors will serve as the Award Selection Committee Chair; the other members of the Selection Committee will be approved by the IPA Board of Directors. The 2016 recipient will be honored at the IPA/GIFT Statewide Conference on June 7/8, 2016.
Please submit the enclosed nomination form, including contact information for two individuals who can serve as references for the nominee. References should have a comprehensive knowledge of the nominee’s background and accomplishments. References for award finalists may be contacted at the discretion of the Award Selection Committee.
Please submit nominations by April 29, 2016 by mail, fax or email to:
Jack Cole, Director, Member & External Relations
Indiana Philanthropy Alliance, 32 E. Washington Street, Suite 1100, Indianapolis, IN 46204
Fax: 317-630-5210
E-mail:
Questions? Call 317-630-5200 ext. 111
2016 Hazelett Award for Leadership in Grantmaking Nomination Form
Please click each grey box to enter your response.
Nominee Information
Name:
Home Address:
City: State: Zip:
Telephone: E-mail:
Organization Name:
Title/Position:
Office Address:
City: State: Zip:
Office Phone:
Nominator Information
Name:
Contact Address:
City: State: Zip:
Daytime Telephone: E-mail:
References
Please provide two references that are familiar with and can verify the scope and extent of the nominee’s activities. They may not be the nominator, nominee or a nominee’s relative. Please make these individuals aware that they may be contacted.
1. Name: Daytime Phone: Email:
2. Name: Daytime Phone: Email:
Please submit nominations by April 29, 2016 by mail, fax or e-mail to:
Jack Cole, Director, Member & External Relations
Indiana Philanthropy Alliance, 32 E. Washington Street, Suite 1100, Indianapolis, IN 46204
Fax: 317-630-5210
E-mail:
Questions? Call 317-630-5200 ext. 111
Nominee Name: Nominator Name:
Briefly outline why you believe your nominee should receive the 2016 Hazelett Award for Leadership in Grantmaking in the space below. Please note: you may also provide an additional two supporting documents for the nominee (e.g. letters of support, résumé, etc.).
A.) Commitment: The nominee’s length of service in the field.
B.) Mentoring Leadership: The nominee’s demonstrated leadership in mentoring and nurturing professional development in others.
C.) Impact: Examples of how the nominee has given of his/her time, talent and other resources.
D.) High Standards/Integrity/Creativity: Examples of how the nominee has demonstrated these characteristics.