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THE 2015 ROBERT W. TEETER AWARD NOMINATION FORM
Nominations are due Friday, March 20th at 5pm.
To nominate an individual for the 2015 Robert W. Teeter Award, a written statement must be submitted to the
Pav YMCA. The written statement should be detailed and clearly outline how the candidate has influenced and
dedicated themselves to our community. Additional information may be submitted if desired. Selection of the
award recipient is based on this written statement.
The recipient of the 2015 Teeter Award will be notified by the end of March. The Teeter Award will be presented
on Friday, May 8th at the Pav YMCA’s Annual Teeter Award Celebration and Dinner Dance.
NOMINATION
I submit the individual below as a nominee for the Pav YMCA’s 2015 Teeter Award for outstanding service in the
communities of Berwyn, Cicero, Stickney, Lyons, Forest View, Riverside and North Riverside.
Candidate's Name:
Submitted by:
_____
Phone:
Candidate's Qualifications: I feel this person is qualified for consideration based on the following:
Completed forms and written statement must be received by 5pm on Friday, March 20th, 2015.
Submit written statement and nomination form to:
PAV YMCA
Attn: Jamie Kucera, Executive Director/CEO
2947 S. Oak Park Ave., Berwyn, IL 60402
Email: executivedirector@pavymca.org or Fax: 708.749.7793