Submissions are due by March 16, 2012.
Nominee MUST be a member in good standing of ISM-Nevada.
Nominations may be made by ANY interested party.
Award will be presented on April 11, 2012.
Name of Nominee
I. Personal Experience
Purchasing Experience (working in the purchasing profession)
1-10 years 1 11-15 years 2 16-20 years 4 21-25 years 5 25-30 years 6 31-35 years 8 36+ years 10
Score
Please list employers and employment dates
Education High School 1 Associates 2 Bachelors 3 Masters 4 Ph.D 5
Please list all degrees
Certifications A.P.P. 2 C.P.M. 4 CPIM 4 CIRM 2 CPCM 4 CPPB 2 CPPO 4 CPSM 4 CPSD 4
Score (add points together if multiple Certifications)
I. Total Personal Experience Score
II. Purchasing Association Experience Commitment Commitment to NAPSM 1 (lowest) 2 3 4 5 (highest) Commitment to ISM District/Regional 1 (lowest) 2 3 4 5 (highest) Commitment to ISM National/International 1 (lowest) 2 3 4 5 (highest) Commitment to other Purchasing Organizations 1 (lowest) 2 3 4 5 (highest) II. Total Purchasing Association Experience Score
Add details regarding the nominee’s Purchasing Association Experience Commitment
III. Demonstrated Excellence Demonstrated Excellence in Leadership 1 (lowest) 2 3 4 5 (highest) Demonstrated Excellence in Volunteering 1 (lowest) 2 3 4 5 (highest) Demonstrated Excellence in Learning 1 (lowest) 2 3 4 5 (highest) Demonstrated Excellence in Teaching/Sharing Knowledge 1 (lowest) 2 3 4 5 (highest) Demonstrated Excellence in Furthering the Purchasing Profession 1 (lowest) 2 3 4 5 (highest) III. Total Demonstrated Excellence Score
Add details regarding the nominee’s Purchasing Association Demonstrated Excellence
Overall Score (Please total all 3 sections)
Additional Comments, including "Why You Are Nominating This Nominee":
Nominator's Name Phone Email