1291 FAICHNEY DRIVE, SUITE 1 • WATERTOWN, NEW YORK 13601 • T 315.788.4400 • F 315.788.3369 WWW.WATERTOWNNY.COM • CHAMBER@WATERTOWNNY.COM ATHENA Award Nomination Instructions The ATHENA Leadership Award® was inspired by the goddess of Greek mythology known for her strength, courage, wisdom and enlightenment - qualities embodied in the ATHENA Leadership Model®. The Award is unique in both scope-- -local, national and international---and the ATHENA mission upon which it is based. The ATHENA Leadership Award® is presented to a woman ---or man--- who is honored for professional excellence, community service and for actively assisting women in their attainment of professional excellence and leadership skills. THE CRITERIA ATHENA Award ® recipients must meet each of the following three criteria: ü Demonstrate excellence, creativity and initiative in their business or profession ü Provide valuable service to improve the quality of life for others in their community ü Assist women in reaching their full leadership potential COMPLETING THE FORM ü Nominations for the ATHENA Award ® must be submitted using this nomination form ü To access the electronic version of this form, please visit www.watertownny.com or email the Chamber at [email protected]. ü You may include up to a maximum of three additional pages of supporting documents/pages (resume, CV, letters of support etc.) in addition to the nomination form. ü The information submitted should support the award criteria of commitment, leadership, and service. THE PROCESS A Selection Committee consisting of a diverse group of community leaders and past recipients will review all nomination forms and select the ATHENA Award ® recipient. The ATHENA Award ® recipient will be announced no later than Friday, July 15. The award will be presented at a dinner hosted by the Greater Watertown-North Country Chamber of Commerce on Thursday, September 8, 2016, at the Hilton Garden Inn, Watertown. RETURN COMPLETED FORM TO: SUBMISSION DEADLINE: Greater Watertown – North Country Chamber of Commerce 4:00pm, Friday, July 8, 2016 1291 Faichney Drive, Suite #1, Watertown NY 13601 e-mail: [email protected]; fax: 315.788.3369 If application is e-mailed, mailed or faxed, please call 788-4400 to verify receipt. The Greater Watertown-North Country Chamber of Commerce, in partnership with ATHENA International, presents the ATHENA Award ® with the help of our community program sponsors: 2016 ATHENA Award ®