2015 Leadership Award Nominations

Leadership Prince William will present the Leadership Prince William Vision Award and the Kathy Ellington Leadership Award at our 2015 Gala on Friday, June 26, 2015, at Harbour View. These two awards identify, recognize and honor individuals who exemplify leadership in our community and beyond.

1.  The Leadership Prince William Vision Award: This award honors an individual—who lives or works in Prince William County, Manassas or Manassas Park—whose innovative, strategic or bold leadership has had a positive impact on a significant portion of our community, region, state, nation or world. The magnitude and scope of the impact are primary criteria for this award. Nominees do NOT need to be alumni or participants in Leadership Prince William.

2.  The Kathy Ellington Alumni Leadership Award: The Kathy Ellington Award honors a Leadership Prince William alumnus who has used their leadership, skills and talents to accomplish something notable that has positively affected Prince William County, Manassas or Manassas Park. Their vision and leadership resulted in a positive impact on our community. The attached nomination form for the Leadership Prince William Vision Award includes 4 criteria for consideration, including the nominee’s specific contributions and impact.

If you know someone who would be a perfect candidate for either of these leadership awards, please complete the attached nomination form and indicate their award nomination category.

Submit your completed nomination form by no later than April 6, 2015, via mail, email or fax to:

Leadership Prince William

C/O Kathy Bentz, Executive Director

9720 Capital Court, Suite 204

Manassas, VA 20110

Email:

Fax: 703.368.4733

2015 Leadership Award Nomination Form

Nominations should include this form, the two-page narrative and up to 3 supporting documents.

·  Nomination Form: Award for which you are nominating the individual, your name, LPW Class Year (if applicable), and contact information.

·  Narrative: Limited to two pages using 11-point font for all 4 segments.

·  Supporting Documents: Up to 3 documents that support your nomination.

I am nominating an individual for the following award:

ð  The Kathy Ellington Alumni Leadership Award (specifically for a Leadership Prince William alumnus) OR

ð  The Leadership Prince William Vision Award (for any community leader)

Nominee’s Name:

Nominee’s Place of Employment:

Nominee’s Phone Number:

Nominee’s Email Address:

Nominee’s Leadership Prince William Class Year (if applicable):

Your Name: ______

Your LPW Class Year (if applicable):______

Your Phone Number: ______

Your Email Address: ______

Narrative: 2015 Leadership Award Nomination

1.  Describe specifically what the nominee has done to merit nomination for a 2015 Leadership Award.

2.  Describe the impact of the nominee’s efforts or initiative, including any measurable outcomes, if available. You may provide up to 3 supporting documents to highlight this impact, e.g. letters of commendation, media coverage, awards, etc.


3.  What was the nominee’s specific role in the initiative(s) and its impact in our community and beyond? e.g. Invention, discovery, implementation, organization, etc.

4.  As the nominator, why do you feel this leader deserves to receive this award? What sets your nominee apart from other community leaders?