Women of the Year Nominations - by March 31, 2010

Distinguished Woman of the Year Award
PO Box 356 Grand Haven MI 49417
Nomination Form
Each year, Counterpart sponsors the presentation of the Distinguished Woman of the Year Award, which recognizes the volunteer service and leadership of one special woman in our community.

Criteria The Nominee must:
• Volunteer at a policy-making level in the Tri-Cities Area
• Demonstrate outstanding achievement in her profession
• Be a leader in the community and maintain high personal and professional ethics
• Reside or work in the Tri-Cities Area

Nominations Nominations for the Distinguished Woman of the Year Award must:
• Be submitted using this form
• Be accompanied by a letter of support in each category:
1) Volunteer work,
2) Professional accomplishments, and
3) Personal qualities
• Additional letters of support are welcome
• Remain confidential (part of the fun is surprising the nominee at the banquet!)
• Mail to Counterpart, P.O. Box 356, Grand Haven, MI 49417
• Digital copies of the completed form and letters of support may also be

mailed to
wendy@bodenomics.com
• In order to quality, all nominations and support material must be received by no later than March 31, 2010

Award Process The Distinguished Woman of the Year Committee will:
• Review all nominations and select the award recipient
• Contact the nominator to inform him/her of the successful recipient
• Work with the nominator in planning for the award banquet to take place at the Spring Lake Holiday Inn on May 5, 2010.
• The award recipient will be announced at the banquet.

Please provide the following information about the nominee (continued on the back):
Nominee's Name ___________________________
Address _____________________________________________________________
Place of employment ____________________________________________________
In letters of support, please discuss how the nominee demonstrates the following:
1. Volunteer work: Active in volunteer work at a policy-making level (e.g.,
school, hospital, non-profit, elective or appointive office). The Woman of the Year directs and shapes her community into a better place in which to live and work.
2. Professional accomplishments: Outstanding achievement and excellence
in her profession or business characterize the Woman of the Year. Colleagues endorse her and recognize her superior abilities. She may have received awards in her field. She is imaginative, creative, and innovative in her workplace. She maintains a high degree of professional ethics, and embodies qualities of leadership, responsibility, fairness, and integrity.
3. Personal qualities: The Woman of the Year is aware of her obligation to
herself, family, and society. She exemplifies a high degree of personal ethics. She is a caring and concerned person whose outstanding character, spirit, and mind are an example for all. Please list any personal obstacles she had to overcome to attain her goals.

Please provide us with your contact information:
Name ________________________________________
Address ______________________________________
Phone _______________________ Email ______________________________
Thank you for participating in the 2010 Distinguished Woman of the Year Award!

For more information about Counterpart, please visit www.counterpart.mysite.com.
Questions?
Please contact Chairperson Wendy Schweifler, 616-566-1437
or wendy@bodenomics.com