Award Nominations Form
MAPS 2014 Awards Gala
Please cast only 1 vote per person, per category and make only 1 nomination per form.
Completed forms are due by 5 p.m. on Monday, September 9, 2013 to:
Lois Josimovich, Director of Development & Communications
MAPS
1046 Cambridge Street
Cambridge, MA 02139
Or, email ljosimovich@maps-inc.org or fax 617-864-7621.
You may copy this form as needed.
Name of Person Making Nomination: ________________________________
Date of Nomination: ______________________________________________
Name of Person Being Nominated: __________________________________
Nomination Category (Please Circle One):
MAPS Person of the Year
MAPS Manuel N. Coutinho Outstanding Volunteer Award
MAPS Mary & Manuel Rogers Lifetime Community Service Award
MAPS Jorge Fidalgo Community Service Awards
MAPS Álvaro Lima Outstanding Business Award
To learn more about the award categories, please visit:
http://www.maps-inc.org/events/annual-gala
Address, telephone & e-mail for person being nominated (very important!):
Reason for nominating this person—please be specific and include a brief 1-paragraph
biography: