Appendix H

Updated: January 2016

MPI-CAC Awards Application

Hall of Fame Organization

Congratulations! You have been nominated by a chapter member for an MPI-CAC Chapter Award. This award is comprised of esteemed members and organizations that have made significant contributions to the awareness, professionalism, and growth of the meetings industry and the chapter specifically.

Awards will be presented at the MPI-CAC Annual Awards Recognition Gala in Chicago this summer. Information regarding the location and date of the gala will be announced at a later date.


To be considered for this award, the Awards Selection committee requires you submit a complete application. Please address each question and submit your Nominee Information Form by Friday, April 1, 2016. Good luck!

♦ Awards Category ♦

Please complete this form online; mailed or faxed forms cannot be accepted. Please answer each question as thoroughly as possible. Once you begin this form, you must complete it in its entirety. You will NOT be able to save your work within this form. It is recommended that you review the questions and draft your answers in this Word document. Once you are ready to submit your application, you can copy and paste your answers into the form fields.

**Current Board members are not eligible for this award. Winners need not be a member of MPI. Individuals that have previously received this award are not eligible to be selected again.

This application applies to the Hall of Fame Organization Award category only, below outlines the award criteria:

•  Individual must maintain current membership in MPI-CAC or organizations will have at least one-chapter member in their employment.

•  In order to be considered, a nomination by a chapter member must be submitted.

•  Nominee must submit a completed application to be eligible for consideration.

•  Current Board Members are not eligible for individual induction into the MPI-CAC Hall of Fame.

♦ Nominee Contact Information ♦

Contact First Name* / Contact Last Name*
If you are selected for this award, please note exactly how you would like your organization’s name to appear on the award (include designations, if applicable)
Organization
Address / City, State Zip Code
Business Phone / Mobile Phone
Contact Email Address*

♦ MPI-CAC Service ♦

List all MPI-CAC offices and positions that your employees currently hold (Board Member, Chair, Co-Chair, Vice Chair, Committee Member, Chapter Member and must be in employ at time of nomination.)

Position / Member / Dates of Service
Board Member
(5 points)
Committee Chair
(4 points)
Committee Vice Chair
(3 points)
Committee Member
(2 points)
CAC Chapter Member
(1 point)

List any of your employee’s involvement in MPI serving in an international role: (3 points/employee)

Member / Committee / Dates of Service

♦ Professional/Career Experience ♦

In what year was your organization established? ______

How many years has your organization/employee(s) been a member of MPI-CAC? #___years (1 point/year)

♦ Industry Involvement ♦

Please list your active MPI member employees who currently have an industry designation/certification. (3 points/certification/employee)

Employee / Designation / Years Employed

Please provide us with any industry-related writing or speaking engagements that your employees have done within the last three (3) years.

Publication
(1 point per publication, max of 15) / Topic / Date Published
Speaking Engagement
(1 point each, max of 10) / Topic / Date

Please list your employees who are currently involved in another industry organization. (1 point per each role/commitment/employee, max of 10 points)

Employee / Designation / Years Employed

♦ Community Service ♦

Please provide detail on any non-industry involvement in which your organization in involved. (1 point each company project or initiative, max of 5 points)

Organization / Role or Project / Dates

ESSAY: Briefly describe why your organization deserves this award. (Potential of up to 15 points)