Nominations for Oblong Chamber Banquet Awards

Nominations for
Oblong Chamber of Commerce Banquet Awards

Please Circle which Award you are filling a nomination for. Use a separate form for each nomination.

Completed forms need turned into Joy Fitzmaurice at the Dorsey Kirk Insurance office, no later than Feb. 11, 2004.
Forms may also be mailed to

     Oblong Chamber of Commerce
     Attention: Joy Fitzmaurice
     108 West Main
     Oblong, IL 62449

Consider the definition of each award and nominate your person or group of choice. Please include the name and reasons why you are nominating this individual or group.

Community Service Award

The community Service Award is given to a person or person’s who have demonstrated a willingness to perform service for the community and endeavored to make Oblong a better place to work, live, and play.

Youth Pride Award

The outstanding Youth Pride Award is given to any youth or youth organization whose members exhibit good sportsmanship, dedication to goals, community mindedness, and or leadership abilities.

Whole Hart Award

The Whole Hart Award is the Chambers most prestigious award. It is bestowed on a person or persons who have exhibited an outstanding amount of pride in our community, and service for our community, over an extended period of time.

Award ______________________________________

Name of Nominee ______________________________________

Explanation of Nomination (This must be filled out to be considered for nomination. Must have one full page at least.) ________________________________________________________________________

________________________________________________________________________

please use back side of this page to finish