CLC / NADONA’s Lifetime Leadership Award Application Nominee’s Name & Credentials * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Current Position * Employee * Phone Number * (###) ### #### Confirm that nominee is a member of NADONA (this is a requirement). * Yes, nominee is a member How has this NADONA member demonstrated the NADONA values within their professional and personal lives? * How does this NADONA member bring the NADONA mission to life? * How does this NADONA member champion others to lead? * Please give examples of all of the following leadership qualities: Emotional Intelligence * Integrity * Critical Thinking * Dedicated to Excellence * Communication Skills * Professional Socialization * Respect * Mentorship * Professionalism * Nominator's Information How do you know this nominee? * Nominator’s Name * First Name Last Name Email * Phone * (###) ### #### Thank you for nominating this candidate. We appreciate the time and effort put into this application. NADONA strives to select and award this honor to the most deserving of the nominees entered. Thank you!