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Nominating Form -
Anne Shanks Bourne Award and /or Rose Award

1.

Nominated by ___________________________Democratic Woman's Club.
2.

Name of Nominee ________________________________________________
3.

Mailing Address of Nominee ___________________________________

Telephone ___________________________________
4.

Date of Birth ___________________________________

Place ___________________________________
5.

Married to (if applicable, name of spouse) _________________________________
6.

Children ___________________________________
7.

Education ___________________________________
8.

Political Affiliation ___________________________________
9.

Political/Government Positions held (local/state/federal) ______________________

10.

Business/Professional Positions held ___________________________________
11.

Honorary Awards ___________________________________
12.

Current memberships in professional/technical organizations, lodges, clubs, civic and farm organizations ___________________________________
13.

Appointive and elective positions, (include dates) ___________________________
14.

Bibliography of publications ___________________________________
15.

Religion and Church positions, (include dates)
16.

Legal voting residence
17.

GIVE REASON you believe this nominee should be our choice for the ANN SHANKS BOURNE AWARD or the ROSE AWARD.
 

Attach additional sheets as needed
   
 

Club Name ___________________________________
 

County ___________________________________
 

Signature of Club President ___________________________________

 

Club Presidents:

Complete items 1-17 and return to the State Chair, Awards Committee no later than August 1:

Each club may submit one nomination to honor an outstanding Kentucky Democratic Woman. (Nominee does not have to come from Club's particular district.) Nominees who are not selected in one year may be resubmitted.

These prestigious awards are not automatically given each year. All nominations will be reviewed and criteria weighed by State Awards Committeee for a final decision. If candidates are selected, the Awards will be presented at the Annual Convention.

The Awards Committee shall determine if the entries shall be for the Anne Shanks Bourne Award (statewide achievement) or for the Rose Award (local achievement). Members of the awards Committee shall be privileged to make additional nominations.