2019 CIE Individual Outstanding Community Service Award (iOCSA) - Call for Nominations
Google Form Instructions: Only *required fields are needed in order to submit/save progress. All fields are required for final submission due Friday July 19 (7/19). When form is submitted, an email will be sent to the email on record with a link allowing responses to be edited up until the due date. Please report any errors or concerns to 2019president@cie-dfw.org

Since CIE/USA-DFW Chapter was founded in 1989, its core value has been based not only on promoting community awareness in STEM, but also on its contributions to society. To honor this core value to community involvement, CIE/USA-DFW Chapter created the CIE Individual Outstanding Community Service Award (iOCSA). Through this program, CIE recognizes individuals who have made outstanding contributions to their community through their time, actions, and dedication (outside any volunteer work done for their job or employer). The honoree selected should serve as a role model for their community service and strive to make the world a better place. Award recipients will be recognized at the CIE/USA-DFW 2019 Annual Convention VIP reception and receive an official certificate from the City of Richardson, Texas.

Any individual or any member of a local organization or corporation (does not need to have CIE membership) may be nominated with the exception of members of the Awards committee.

For this award, we seek nominees who: (1) have consistently demonstrated qualities of compassion, and service to either one organization or a variety of volunteer activities; (2) have affected society in one or more positive ways that foster long-term change to the public good; (3) stand out among peers as individuals whose service has produced extraordinary results; (4) instituted an innovative approach or policy to their service. The activities or service listed on the application cannot be part of the nominee’s job description or duties and the individual cannot receive any monetary or personal benefits from their involvement. Last, but not least, to become an award recipient, the honoree selected must be present at the ceremony.

Nomination deadline is Friday July 19, 2019
Results will be announced on July 26, 2019

o The degree to which their services or initiatives have made a lasting impact on their community (culture, policy or personal lives)
o The length and degree of their service(s)
o The extent to which their action would be recognized and valued by their community leaders
o Interview/presentation

o Descriptive and specific information about the nominee's service to the community.
o Testimonials/recognition/quotes from the nonprofits where the nominee has volunteered.
o Facts or figures about the nominee's service in the community, such as volunteer hours, number of people/organizations served, extra efforts above and beyond the call of duty, etc.

Friday, August 16, 2019
5:45PM - 6:20PM at VIP Reception of CIE/USA-DFW Chapter 30th Anniversary Annual Convention
Renaissance Dallas at Plano Legacy West Hotel
6007 Legacy Drive, Plano, Texas 75024, USA

Email address *
Nominee's name (First, Last) *
Your answer
Email address (for contact if selected) *
Your answer
Organization or Institution *
Your answer
Title in listed organization or institution *
Your answer
Nominator's name (First, Last) *
Your answer
Email address *
Your answer
Organization or Institution *
Your answer
Title in listed organization or institution (optional)
Your answer
Relationship to nominee (optional)
Your answer
How long have you known the nominee? (in years) *
Your answer
Nominator’s narrative (500 words or less) *
Nominator is encouraged to provide details on the followings: (1) The services that were provided and the nominee’s particular contribution (2) The recipients of the services and the benefit/impact to the recipients (3) When and for how long were the services conducted? and under what circumstances (4) Why are the nominee’s services extraordinary? What makes them stand out?
Your answer
Activity photos of 2018 iOCSA ceremony
August 18, 2018 at the VIP Reception of CIE/USA-DFW Chapter 2018 Annual Convention
2018 iOCSA Recipients with Mayor of Richardson Mr. Paul Voelker
iOCSA Recipient: Ms. Anh Vo (Cindi’s New York Deli & Bakery)
iOCSA Recipient: Ms. Shannon Chen (DFW Technology & Community Youth Leadership Camp)
iOCSA Recipient: Ms. Wen-Shin Wang (Texas Instruments)
Thank you for your submission!
About CIE/USA-DFW Chapter
The CIE/USA-DFW Area Chapter was established in January 1989 and registered in the state of Texas as a non-profit organization in 1992. Over the years, the CIE/USA-DFW chapter has established close ties with major corporations and government bodies around the world to promote the awareness and advancement of Science, Technology, Engineering and Mathematics (STEM). Visit us on www.cie-dfw.org, or http://www.cie-dfw.org/members/memberinformation.php to become a CIE member!
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