DIOCESE of JOLIET CHAPTER
KNIGHTS OF COLUMBUS
Victor Cardosi
Award Recognition Dinner
2013 Nomination Form
The Joliet Diocesan Chapter of the Knights of Columbus annually holds a Recognition Dinner, for those
individuals selected to be recipients of the Victor Cardosi Award. The selected individuals are those who,
as Knights, have exemplified Charity, Unity, Fraternity and Patriotism in Family, Community,
Church, Youth and Council Activities above and beyond that of the average council member. Chapter
Officers are exempt from receiving this award.
The 2013 Victor Cardosi Award Recognition Dinner will be held on Saturday, April 20, 2013 at Joliet
Council # 382 in Joliet, Illinois.
Nomination RULES
Nomination will only be accepted from Grand Knight of Council
If Grand Knight is being nominated, than Deputy Grand Knight or Financial Secretary

Nomination submissions should use a 12 point Times New Roman font. Nominations will be
accepted using the following formats:
1.
2.
3.
4.










Microsoft Word documents (versions 1998 - 2007)
Adobe PDF files.
Plain text files.
Printed documents mailed.
CHAPTER DUES MUST BE PAID PRIOR TO OR NO LATER THAN THE DEADLINE FOR
NOMINATIONS OF FEBRUARY 08, 2013
All nominations must contain all eight (8) sections described on the following pages. Each section is to be
numbered and labeled appropriately (i.e. Section 1 – Information Page, Section 2 – Service to Church and
Parish …)
For each section, identify activities or characteristics the nominee holds beyond that of an average council
member.
All nominees must be a member of the Knights of Columbus.
Each council may submit only one entry per year from their Council.
Previous submitted nominees, may be re-submitted only by using this form (with all 8 sections).
Nominations for older members who were very active members in the past and are less active now should
be submitted for consideration.
No nominations, for deceased members will be considered.
Nominations containing inaccurate or misleading information may be eliminated from consideration by the
selection committee.
Nominations can be submitted by postal mail or by email (Section 1 identifies where to send the
nominations).
All nominations must be received by February 08, 2013

Late nominations will NOT be considered.
Preserving our Past – Forging our Future
Centered on the Eucharist
Page 1 of 3
2013 Honors Night Nomination
Section 1 - Information Page
Diocese of Joliet Chapter
Knights of Columbus
Victor Cardosi Award Nomination 2013
Nominee Information
*Nominee Name: _________________________________________________________________________
*Address:
_________________________________________________________________________
*City:
_________________________
State: ____________
*Home Phone #
(
E-Mail: ______________________________________
) ___________________
*Council or Assembly Name: ____________________________________
*Parish Attended:
Zip Code: _________________
Number: __________________
_____________________________________ City:
__________________
Nominee Family Information
*Married ( Y / N ): ________
*Years Married: __________
*Spouse Name: _______________________
*Spouse Living ( Y / N ): __________
Children Names and Ages: __________________________
________________________________________________________________________________________
Grandchildren ( Y / N ): __________
Number: __________
Additional Information Must Be Attached For Consideration
Proposer Information
*Submitted By:
_____________________________________
*Council or Assembly Name: _____________________________________
*Home Phone #:
(
) ___________________
*Date Submitted:
_________________________
*E-Mail:
*Title:
______________
*Number: ______________
____________________________________
*Signature: ____________________________________
ALL NOMINATIONS MUST BE RECEIVED BY: February 08, 2013
Send Nominations to either of the Officers Below:
Timothy J. Cosgrove
Chapter Trustee
1026 Stonegate Road
New Lenox, Illinois
60451-2676
Sox1985@att.net
(815) 485-5599
Gregory P. Quinn
Chapter Vice President
9930 Cambridge Drive
Mokena, Illinois
60448-7935
GPQuinn@sbcglobal.net
(708) 479-4864
* These areas must be filled in.
Preserving our Past – Forging our Future
Centered on the Eucharist
Page 2 of 3
2013 Honors Night Nomination
Section 2 - Service to Church and Parish
(In this section, you can identify how the nominee served as Eucharistic Minister, Lector, Usher,
Religious Education Teacher, Parish commission and Ministries, Retreats, Parish Council or other
Parish Activities)
Section 3 - Service to the Knights of Columbus
(In this section, you can identify the offices held by the nominee in their Council, Assembly, Chapter or
the State. You should also identify any activities or services the nominee chaired or was active in such as
Committee work, Council development and reactivation, Degree work or Members they sponsored.)
Section 4 - Service to the Youth
(In this section, you can identify how the nominee has served the youth. Examples of youth activities could
be Christmas parties, CYO, Boy Scouts, Girl Scouts, coaching, basketball etc.)
Section 5 - Service to the Community
(In this section, you can identify the nominees membership in other civic organizations, other areas of
volunteerism, special event participation, homeless projects, blood drives etc.)
Section 6 - Service to the Family
(In this section, you can identify how the nominee exemplifies family values in his daily life.)
Section 7 - Major Accomplishments and Awards
(In this section, you can list the nominee’s major accomplishments and awards for the nominee’s Council,
Assembly and State. Accomplishments can be Knight of the Month/Year, Family of the Month/Year,
Senior Citizen of the Month/Year, Sir Knight of the Year, Master Medallion Award, State Knight of the
Year, State Family of the Year and State Deputy Medallion. Also, you can include any Military or
Community Awards the nominee has received.)
Section 8 - Additional Information
(In this section, you can add any additional information not included in any of the previous seven
sections. Also, in this section, please include why you feel the nominee should be selected as an award
recipient.)
Preserving our Past – Forging our Future
Centered on the Eucharist
Page 3 of 3
2013 Honors Night Nomination