CEOs Community Hero Awards

presented by The Champion Newspaper and DeKalb County CEO Burrell Ellis
Nominate a community servant, community organization or an individual in the DeKalb community who tirelessly volunteers his or her service for the betterment of DeKalb County.
Please complete this nomination form and return it to The Champion o ce by March 14, 2013. A panel of civic, corporate and government volunteers will select the winners. Recipients will receive charitable contributions to help further their e orts in the county. Winners will be honored at the CEOs Community Hero Awards Gala at Callanwolde Fine Arts Center on Sunday, April 14 at 4 p.m. Submit nominations via fax: (404) 373-7721 Email: JohnH@deKalbchamp.com Mail: The Champion Newspaper P. O. Box 1347, Decatur, GA 30030 Nominators name ___________________________________________________ Nominators address __________________________________________________ City _________________________________ State ____ ZIP Code _____________ Nominators phone number ____________________________________________ Nominators email ____________________________________________________ Deadline to submit nominations is March 14. For more information, please contact Erica M. Brooks at 404-371-3695 or John Hewitt at 404-373-7779 x110.

Announcing the 2013

Award Nominee Information (attach additional page if needed)

*All individual nominees must live in DeKalb County. Any organization nominated must be able to demonstrate a clear presence and direct impact on DeKalb County. Please indicate below which category best describes your nomination: COMMUNITY CHAMPION AWARD This award acknowledges an individual and non-pro t organization whose work has had a positive impact in strengthening communities and improving the lives of others in DeKalb County. ENVIRONMENTAL CHANGE AWARD This award honors a community member and/or organization that works to preserve, protect, and raise awareness about our environment. YOUTH VOLUNTEER AWARD This award will recognize two DeKalb County youths 18 years old and younger who exemplify volunteerism and community service. NEIGHBORHOOD EMPOWERMENT AWARD This award recognizes an individual and organization that fosters civic engagement and promotes community involvement. THE VANGUARD AWARD This award recognizes an individual and organization whose contributions most exemplify the National County Government Month theme as established by National Association of Counties each year. This years theme is Smart Justice: Creating Safer Communities. Nominees name_____________________________________________________________ Nominees Agency, Community Organization, or Individual Volunteer Focus ___________________________________________________________________________ Nominees address:___________________________________________________________ City___________________________________________ State_______ ZIP______________ Nominees contact info (required so nominee can be noti ed if selected) Name ____________________ Phone ____________ E-mail address _________________ Please tell us why this nominee should be honored as a CEOs Community Hero: ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ _________________________________________________________________________
Attach additional information if needed