Elk of the Year Nomination Form

Directions: Only accomplishments for the past Lodge year (April 1 – March 31) are to be recognized

If you have questions, please contact the State Chairman: Cheryl Collins, 360-606-7524 or cherylacollins2006@comast.net

All entries must be submitted by March 15.

Lodge Name and Number

District

Elk Nominated

Exalted Ruler

Attended what % of Lodge meetings? (1 point for each 10%)

50%

0%100%

Attended what % of DD Clinics? (1 point for each 10%)

50%

0%100%

Attended Summer Convention? (5 points)

Yes

Attended Winter Convention? (5 points)

Yes

Donates minimum of Grand Lodge goal to ENF? (5 points)

Yes

Donates minimum of WSEA goal to Tall Elks? (5 points)

Yes

List committees this person chaired – this past Lodge year only (2 points per committee)

List committees this person was an active participant in – this past Lodge year only (2 points per committee)

List of Lodge Activities they we involved in – this past Lodge year only (2 points per activity)

What do you feel was this person's greatest contribution to the Lodge THIS YEAR? (15 points possible)