2022-2023 Catalyst Award Nomination Form

2022-2023 Catalyst Award Nomination Form

Nominations may be made by an individual, a business, or an organization, and must be submitted to the Greater Fort Dodge Growth Alliance by noon on February 16, 2023.
Nominee Name*
Name of Business/Profession*
Person Submitting This Nominee*
Company Name*
Phone Number*

Area CodePhone Number
E-mail*
Please complete by typing the information requested below. Nominees are judged only by the information and details provided in the application. Please be specific and thorough and utilize resources that are available to provide a total picture of past and present involvement. Give specific examples. Thank you for nominating someone for this prestigious award.
1. Identify ways the nominee has actively promoted the Greater Fort Dodge Growth Alliance and its goals to others. Include all past and present committees the nominee has served on:
2. How or in what ways has the nominee been active in Community Service?

A. Office(s) or board memberships held:
1. Local
2. County
3. State
4. National
B. Other Community, Professional, Political, Religious involvement:
3. List two exemplary examples of excellence your nominee has achieved or demonstrated in his/her business or profession:
4. Cite specific examples of how your nominee has exemplified community pride/spirit:
5. List what your nominee has done that would set him/her above and beyond other professionals of our area:
6. Give specific examples of how your nominee encouraged, empowered, or promoted others/organizations/events in our community.
Should be Empty: