Officer of the Year Nomination Form Officer 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 Officer Nominated * Exalted Ruler Position held THIS PAST LODGE YEAR Attended what % of Lodge meetings? (1 point per 10%) 50%0%100% Attended what % of DD Clinics? (1 point per 10%) 50%0%100% Attended what % of monthly officer meetings? (1 point per 10%) 50%0%100% Took part in (entered or helped with) the Ritual Contest? (5 points) No Yes Attended Summer Convention? (5 points) No Yes Attended Winter Convention? (5 points) No Yes Donates minimum of Grand Lodge goal to ENF? (5 points) No Yes Donates minimum of WSEA goal to Tall Elks? (5 points) No Yes Turns in any required paperwork promptly? Please describe. (10 points) Provides guidance to other officers? Please describe. (10 points) Did they serve as Committee chair or member (this lodge year only)? Please describe. (2 points per committee) This year helped with: Hoop Shoot (5 points) No Yes Hoop Shoot Details Soccer Shoot (5 points) No Yes Soccer Shoot Details Food Baskets (5 points) No Yes Food Baskets Details Veterans Programs (5 points) No Yes Veterans Programs Details Essay Judging (5 points) No Yes Essay Judging Details Drug Awareness (5 points) No Yes Drug Awareness Details Other (5 points) Also assisted the E.R. in the following ways: (15 points possible) If you are human, leave this field blank. Submit Start Over
