Leadership Montana
Alumni Awards
Service Award
The Service Award may be awarded annually to LM alumni who demonstrate
outstanding commitment and service to LM through support of the program and/or
alumni activities.
Leadership Award
The Leadership Award may be awarded annually to LM alumni who demonstrate
outstanding leadership in keeping with and expanding the LM philosophy in
his/her community and/or the state.
Deadlines
Submission Deadline:
Recipient Notification:
August 1st
September 1st
The Awards will be presented at the Annual Leadership Montana Signature Event.
For more information, contact:
Leadership Montana
info@leadershipmontana.org
406-896-5877
The
Leadership Montana Alumni Awards
Nomination Form for Alumni Award
Nominee Information
First Name
Last Name
Leadership Montana Class Year
Company/Work Place
Address (indicate home or work)
City
State
Zip
Phone
Email
Which award are you nominating this alum for?
☐ Service Award
☐ Leadership Award
Describe briefly why you think this person deserves this award. Please include items as
they reflect the Award Description. You may attach a separate document if needed.
Nominator Information – Note you must be in good standing with Leadership Montana (current
on dues) to submit a nomination.
First Name
Last Name
Leadership Montana Class Year
Company/Work Place
Address (indicate home or work)
City
State
Zip
Phone
Email
Signature: ____________________________________________ Date: ______________