Leadership Lawton

Leadership Lawton/Ft.Sill is preparing tomorrow's leaders in order to make Southwest Oklahoma a greater place.
LL/FS Tree Leadership Lawton/Ft. Sill Logo

Our Mission
"to promote individual leadership growth that will better serve our community."

Please print out form, complete and return by mail or fax.

P.O. Box 6754
Lawton, OK 73506

Reuben Brown Distinguished Leadership Award
Nomination Form

Nominee Information

Name:	LLFS Class or Year Graduated:
Address:	City, State, Zip
Home Telephone:	Work Telephone:
E-mail Address:
Present Employer	Position

Your Information

Name:	Telephone:
E-mail:	LLFS Class or Year Graduated:

Submission Information

Mail:
Charles C. Middleton
Reuben Brown Award Chair
P.O. Box 6754
Lawton, OK 73506

E-mail:

cmiddleton@gptech.org

Fax: 580-250-5566

Inquiries: 580-250-5556

Description of Nominee’s Activities and Accomplishments

Please list all the volunteer activities that your nominee is currently involved with or has been involved with, as a worker, officer, board member or other type of volunteer. Please list the month and years, if known.

Organization Name	Dates of Involvement	Positions Held

In your opinion, kindly state their most significant contribution from the list above:

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Description of Nominee’s Professional Activities

Please list all the professional affiliations that your nominee is currently involved with or has been involved with, as an officer or board member, committee member or chair. Please list the month and years, if known.

Organization Name	Dates of Involvement	Positions Held

In your opinion, kindly state their most significant contribution from the list above:

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Finally, in your own words, write a paragraph (not more than 250 words) on why you feel this person is deserving of the award.

Thank you for taking the time to nominate this past graduate of Leadership Lawton-Fort Sill. You may submit your nomination by e-mail, fax or mail before the deadline. Feel free to use additional pages for the information requested.

Any questions, comments, or problems, please contact cmiddleton@gptech.org

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