UNA NOCHE DE EXITOS A O A NOMINATION FORM...Phone & Fax: 509-542-0933 tchcoc@hotmail.com UNA...

Phone & Fax: 509-542-0933 tchcoc@hotmail.com www.tricitieshcc.org

UNA NOCHE DE EXITOSA NIGHT OF ACHIEVEMENTS

NOMINATION FORM

Each year the Tri-Cities Hispanic Chamber of Commerce hosts a Gala and Awards Ceremony. This event serves as an opportunity to recognize and publically thank those who work to make our community a better place to live.

For the purpose of these awards, the meaning of Latino(a) is not restricted solely to ethnicity, however, individuals nominated for these awards should reflect an obvious dedication to local Latino families, businesses, and/or communities.

To nominate someone for an award place an ‘X’ next to the appropriate category and fill out the information below.

____Outstanding Latino(a) Educator of the Year ____Outstanding Latino(a) Public Servant (e.g. firefighter, police, elected official, etc.) ____Outstanding Latino(a) Veteran of the Year ____Outstanding Latino(a) Health Care Professional of the Year ____Outstanding Business of the Year ____Outstanding Latino(a) Community Leader of the Year ____Latino Lifetime Achievement Recognition

1. Name of Nominee: _______________________________________Phone:____________________________

Address: ___________________________________________________________________________________

E-mail:______________________________________________________________________________________

2. Reasons the nominee merits the award:_________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________

3. Brief history of nominee:_________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________

You may use additional pages to support each nomination and attach them to this form.

Name of person submitting nomination__________________________________________

Phone_________________________E-mail: _____________________________________

Please return nomination form to the TCHCC Office by mail at: P.O. Box 3938, Pasco, WA 99302 by fax at: 509-542-0933 or by e-mail at tchcoc@hotmail.com. Nomination Deadline: Friday, April 3, 2015

The Tri-Cities Hispanic Chamber of Commerce (TCHCC) is organized for the purpose of advancing the economic, industrial, professional, cultural, agricultural, educational and civic welfare of the Tri-Cities and surrounding communities. The TCHCC will accomplish this mission by

focusing on work force development through its support of education and training.

Tri-Cities Hispanic Chamber of Commerce (TCHCC) Mailing Address: P.O. Box 3938, PASCO, WA 99302

Physical Address: 1600 N. 20th Ave. Suite D Pasco, WA 99301