Submit Online Nomination for 2011 Recognition Awards

2012 ECIDC Recognition Awards Entry - Online Submission

Please answer all questions belows. When finished, click the "Submit" button. You will receive an email confirmatin. If you have any questions or need assistance, please contact ECIDC Executive Director Jean Anne Grunloh at (217) 540-3517 or jgrunloh@lakeland.cc.il.us

E-mail Address: *

Name of Person or Organation You Wish To Nominate (Nominee)

Nominee Contact Person (if Organization is being nominated)

Nominee Phone

Nominee Email Address

Nominee Address (Street, City, ,State, Zip)

Award Nominated For (Either BESI, Lifetime Achievement Award, or Outstanding Leadership in Community & Economic Development Award

Nominator Name

Nominator Phone

Nominator Address (Street, City, State, Zip)

One page narrative explaining why Nominee is deserving of the chosen award. Be sure to give specific examples as to how the Nominee fits the award criteria as listed on the ECIDC 2012 Recognition Awards Packet. When finished click the Submit button below. You will then receive an email confirmation of the nomination you have submitted. If you have any questions, please contact ECIDC Executive Director Jean Anne Grunloh at (217) 540-3517 or jgrunloh@lakeland.cc.il.us

* Required