Servant Leadership Award Nomination Form

Nominee Name

Phone:

Class of:

Address:

City, State & Zip:

E-mail Address:

The award has three-part criteria: 

• Mercy (acts of benevolence and/or compassion to others in the community)
• Justice (conformity to the principles of righteousness and rectitude in all things)
• Servant Leadership

Please write a brief essay about why the person is being nominated related to the 3 fold criteria; and if possible a vita of the person nominated related to the 3 fold criteria.

Nominator Name:

Phone:

Address:

City, State & Zip:

E-mail Address: