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Lois K. Hauser Service Award Nomination
The award recognizes an “unsung hero” who is dedicated to committee work and demonstrates a long-term service commitment to the Chapter.
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Email
*
Your email
Nominee full name
*
Your answer
Nominee title
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Your answer
Nominee employed by
*
Your answer
Does the nominee receive funding from their employer for professional education?
*
Yes
No
Uncertain
Nomination submitted by
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Member of the MPISCC Board of Directors
Committee Chair
Past President
Self
Length of membership in MPISCC
Your answer
Number of MPISCC events attended in past 12-months
Your answer
Why you believe this nominee deserves the Lois K. Hauser Service Award?
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Your answer
How does the nominee contribute to the life of the chapter through volunteer work?
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Your answer
Has the nominee ever received the Award?
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Yes
No
Which of these traits are demonstrated by the nominee
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An unsung here
Big heart
Team player
Go-to Person who gets results
Dedicated to committee work
Enjoys behind the scenes
Avoids limelight
Long-term volunteer service
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