NORTH CAROLINA JAYCEES 2018 Outstanding Senior Citizen
The North Carolina Jaycees will honor 1 most outstanding Senior Citizen. The purpose of this program is to recognize a Senior Citizen who is over the age of sixty (60) and who has shown exemplary qualities of leadership during their lifetime.

Deadline: Deadline for receipt of entries to state competition is July 9, 2018.

Each nominee will be judged by the following criteria:
- Contributions to the Community (50%)
- Evidence of Leadership Ability (25%)
- Evidence of Personal Progress (25%)

Nominee Qualifications:
- Be over the age of sixty (60) as of January 1, 2018
- Demonstrated exemplary qualities of leadership during their lifetime
- Cannot have won this award in the last 10 years.

Nomination Name
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Birthdate *
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Home Address
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City/State/Zip
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Phone Number
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Employer
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Schools Attended (Degrees/Honors/Etc.)
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Military
Civic, Fraternal, Religious Organizations/Affiliations
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Describe or outline the nominee’s contributions to their community.
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Describe or give evidence of the nominee's leadership ability.
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Describe or give evidence of personal and/or business progress.
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Will Nominee be available to attend the State Awards Luncheon on August 4, 2018? *
Nomination Chapter *
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Email Address *
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