• J. Walter Juckett Community Service Award Nomination

    The J. Walter Juckett Community Service Award is the 4-county region’s prestigious community service award, given to recognize and honor an extraordinary individual who has selflessly gone above and beyond by contributing time and energy to help others.

    Nominations must be received by May 28, 2021.

    To nominate a deserving individual, please complete this Nomination Form and submit it along with a typewritten narrative (of no more than 300 words) explaining why this individual should be considered for the 2021 J. Walter Juckett Community Service Award. All nominations will be kept and reviewed for three years.

    CRITERIA:
    (1) The nominee’s profile should demonstrate significant contributions to the community
    in the field of human services, education, business, or industry.
    (2) The nominee’s contributions should be substantial and enduring.
    (3) The nominee should reflect the admiration of his or her peers.
    (4) Neither the nominee nor nominator are required to be a member of the Adirondack Regional Chamber of Commerce (ARCC) to be considered or receive this honor.
    Nominee Info
    Nominee's Name
    Please fill out the information on the individual you are nominating for the J. Walter Juckett Community Service Award.
    Please enter a phone number, and/or email address, so we may contact the nominee.
    Nominator Info
    Nominated by:
    Please fill out your (the nominator) information.
    Please provide us your phone number, and email address, in case we have questions regarding your nomination.
    Please provide a narrative on why you are nominating this individual. If it is too long for this field, you may upload a Word doc below.
    Please attach your narrative of (no more than 300 words) explaining why this individual should be considered for the 2021 J. Walter Juckett Community Service Award.

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