National Society Daughters of the American Revolution

National Society Daughters of the American Revolution
Merry Ann T. Wright, President General
COMMUNITY SERVICE AWARDS COMMITTEE — Shelby Alderman Whitson, National Chairman
225 Grosvenor Place, Sandy Springs, GA 30328–4824 ★ Phone: (404) 303–8712 ★ E–mail: [email protected]
RECOMMENDATION FOR AWARD IN COMMUNITY SERVICE
The purpose of the Community Service Award is to recognize worthy local people from a variety of walks of life for outstanding
achievements in educational, humanitarian, patriotic, historical or citizenship endeavors. The recipient is expected to have contributed to
his or her community in an outstanding voluntary heroic, civic or benevolent manner, or participated in or organized community activities. This award is not to be presented to members of NSDAR for their DAR-related activities. The recipient must not have received any
salary or remuneration for this service. The award may not be awarded to a recipient more than one time and may not be initiated or
approved posthumously. Awards that have been approved may be presented posthumously. There will be a limit of two (2) awards per
chapter per NSDAR year. This achievement should have taken place in the past five (5) years.
This award may be presented by states or chapters and will be administered by the National Chairman of the Community Service Awards
Committee. many chapters give group awards for one endeavor and wish to give certificates and pins to each of the participants.
Send three (3) copies of this form and two (2) copies of documentation (a detailed description of service, letters, newspaper articles,
etc. Do not bind or laminate.), a $7.00 check (for each certificate and pin) payable to the Treasurer General NSDAR, and two (2) large
envelopes with sufficient postage to your state chairman. She will review it. The national chairman will send the approved recommendation to The DAR Store with the check. The DAR Store will mail the certificate and pin to the chapter. Allow a minimum of six (6)
to eight (8) weeks to receive the certificate and pin.
PLEASE PRINT OR TYPE THE INFORMATION BELOW
Proposed recipient
(Last Name)
(First)
(Middle)
Proposing state or chapter
Date
Print Name of Regent
Signature of Regent; Vice Regent if Regent is nominee
Address of Regent (Vice Regent)
E–mail
Phone No. (
)
Proposed date of presentation
Approved by State Chairman
(allow 6 to 8 weeks)
(Print Name and Signature of State Chairman)
(Date)
Address of State Chairman
E–mail
Phone No. (
)
* IF ThIS FoRm IS NoT APPRoVED by ThE STATE ChAIRmAN, RETuRN ThE FoRm To ThE ChAPTER oR ThE STATE. *
REASONS FOR RECOMMENDING AN INDIVIDUAL MAY BE WRITTEN ON THE REVERSE SIDE
CHAPTER CHECKLIST
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❑
❑
❑
❑
Form completed and properly signed
Check enclosed ($7.00 for each certificate and pin)
Three (3) copies of recommendation, two copies of proof
Two (2) large envelopes with sufficient postage included
Attached letters and documentation in proper format, not bound
or laminated (see online instructions)
Approved on
by
(National Chairman)
Approved on
by
E-mail
Document No. CSA–1000 (Revised April 2011)
(Date)
(Date)
(National Division Vice Chairman)
(National Division Vice Chairman)
(0411–3500–PS)
National Information Packet 2011–2012 • PART III—Page 18