ZONTA INTERNATIONAL > Member Resources > Tools > Club Tools > Meritorious Service Award Nomination Form

Meritorious Service Award Nomination Form

Please complete the following nomination form in English. The nomination will be submitted to the Zonta International Board. The Board will consider this special recognition of exceptional Zontian service at the International level (i.e. beyond the district level).

Below are Examples of action meriting such recognition:

• Outstanding Zonta leadership at the international level (note: this is not generally applicable to ZI Officers or Directors)
• Remarkable, successful efforts in O&E, service, PR or other Zonta activities at the international level.

A special, individualized certificate will be provided and sent to the Governor for presentation.

These awards are only made by the Zonta International Board; and, therefore, nominations must be submitted four weeks prior to the next Zonta International Board meeting. Nomination does not ensure the award will be made by the Zonta International Board. Whenever possible, an International Board member or Governor will present the award.

PROPOSED RECIPIENT:

Proposed Recipient's First Name:*

Proposed Recipient's Last (Family) Name:*

Proposed Recipient's Mailing Address:*

Proposed Recipient's Zonta Club:*

Proposed Recipient's District Number:*

Proposed Recipient's Club Number:*

Year Proposed Recipient Joined Zonta:*

Highest Zonta Office Held by Proposed Recipient:

Details of Proposed Recipient's Zonta Service at the international level:*

Suggested date/event/venue/presenter if a plaque is to be presented.:*

THE RECIPIENT IS PROPOSED BY:

Proposer's First Name:*

Proposer's Last (Family) Name:*

Proposer's Telephone Number:

Proposer's Fax Number:

Proposer's Email Address:*

Proposer's District Number:*

Proposer's Governor:*

I have consulted with my Governor, and she has approved the submission of this proposal.:*