Nominations accepted February 1, 2012 through September 9, 2012
New: You must discuss your nomination with a potential candidate, including a $600 personal commitment fee to be paid by participant or his/her organization toward the $8000 total program costs. Scholarships will continue to be available for part or all of the remainder of the tuition for those unable to pay. A limited number of full scholarships may be available. To discuss financing options for the $600 fee, call the ALF office at 253-284-2280.
The American Leadership Forum is comprised of individuals who:
Nominee’s Full Name :
Gender :
Organization :
Title :
Preferred Mailing Address :
City :
State :
Zip Code :
Work Phone :
Home Phone :
Email :
City of Residence :
How long have you known this person and in what capacity?
Approx. Age of Candidate :
Please confirm that this person is aware of your nomination and you have discussed the importance of a commitment to attend each class meeting, the $8000 actual cost of the program, the $600 required personal commitment fee, personally looking for ways to cover the full cost of training, and the availability of scholarships
Nominee’s Category or Profession (check those that apply) :
Does the nominee see his or her long-term future in Tacoma/Pierce County?
Affiliations of nominee (board/commission/council/association/committee/task-force/membership/etc. (indicate “C” for Current and “P” for Past) :
Reasons why you feel the nominee will be a valuable addition to the ALF network and mission (include nominee’s public service interests :
Describe how the nominee would contribute to the diversity of the class (include racial, ethnic, age, religious, political, occupational, geographic and other aspects that reflect the diversity of Tacoma/Pierce County) :
Nominator’s Name :
ALF Class :
Email address :
Please list other ALF Senior Fellows who may be a reference for this nominee :
PLEASE HAVE NOMINEE EMAIL OR FAX A BRIEF BIO OR RESUME TO THE ALF OFFICE AS SOON AS POSSIBLE.
