Please complete the information below for the person you wish to nominate:
Professional achievements of the nominee in the risk management & insurance profession (entrepreneurial success, leadership positions held with organizations, sales achievements, accomplishments that have positively affected the risk management profession or insurance industry; leadership in professional or regulatory associations, awards and citations won by nominee for professional achievements, advocacy of consumer or insurance industry interests, and other achievements which reflect unusual organizational or occupational skills. Include leadership positions by year.)
Community service contributions of the nominee through civic, cultural, and community activities (involvement in and leadership of civic clubs, fraternal societies, church, service organizations, service on boards of directors of organizations, chambers of commerce, etc.)
If the nominee is deceased, please provide the contact details for his/her nearest living relative in the spaces below:
Please complete the following information with your contact details:
Please feel free to submit collaborative materials that reflect and add to the achievements listed above, plus other achievements or recognition of good works not heretofore listed. This could include magazine and newspaper articles, pictures of nominee receiving recognition and explanations of citations / awards given to the nominee. Submit any supplementary materials to Dr. Dave Wood at firstname.lastname@example.org.
Dr. Dave Wood, Martin Chair of Insurance
Mr. Tommy Martin