Download 17th Annual 12 Who Care Hon Kachina Awards Program

UnitedBloodServicesAZ.org/ShoverAward
2014 BILL SHOVER LEADERSHIP AWARD
The Bill Shover Leadership Award was created in 1999 by the Community Leadership Council
(CLC) to honor an individual for outstanding service to United Blood Services (UBS). It is
named for Bill Shover for his significant contribution as a leader to UBS and the community
blood program. The award is presented annually in February at the United Blood Services’
Valentines for Life luncheon with over 600 in attendance honoring blood drive sponsors and
their coordinators. Please see the back page for a list of previous award recipients.
NOMINATION FORM GUIDELINES
CRITERIA
The Bill Shover Leadership Award recognizes an individual who has voluntarily contributed
time and talent to the betterment of the Arizona blood supply. As a leader, the nominee must
meet the following criteria:
•
•
•
As a leader, this individual inspires, motivates and serves as an advocate for the
promotion of the UBS community blood program.
As a leader, demonstrates innovation by making a difference in people’s lives through
the UBS community blood program.
As a leader, adds value to their own organization/employees as well as UBS through
their contribution.
SELECTION INFORMATION
•
Any individual or group may submit one or more nominations. If submitting multiple
nominations, each one must be for a different individual. Committees and groups are not eligible
to be nominated. An individual may nominate a relative, himself or herself.
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Focus on nominee’s area(s) of greatest impact and innovation on the community blood
program.
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Members of United Blood Services Community Leadership Council make the final selection
based on the nomination criteria and procedures. All information provided will be verified by
Committee members.
•
The following are not eligible for the award: current CLC members and Blood Systems Board
of Trustees members in addition to employees of Blood Systems, UBS and Creative Testing
Solutions.
COMPLETING THE NOMINATION FORM
•
All nominations are due on or before October 24, 2014.
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The nomination application must be completed in full. Do not enclose the application in a folder
or binder.
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Answer all questions. Be concise but thorough. You may provide other support materials that
will enable the Selection Committee to choose the most deserving candidates.
•
You may answer questions on a computer-generated duplicate, photocopied form or additional
pages. Be sure to identify your nominee on each additional page.
2014 BILL SHOVER LEADERSHIP AWARD
NOMINATION FORM
Please type or print legibly
Nominee Information
Nominee Name: ___________________________________
Employer: ________________________________ Position: ________________ ________
Business or Home Address: ___________________________________________________
City: ____________________________________ State: ___________ Zip: _________
Telephone: Home: _______________ Work: _________________ FAX: ______________
E-mail address: _____________________________________________________________
Submitted By:
Name: ________________________________ Title: _____________________
Business Name/Organization (as applicable):______________________________________
Address: __________________________________________________________________
City: ____________________________________ State: ___________ Zip: ________
Telephone: Home: _______________ Work: _________________ FAX:________________
E-mail address: _____________________________________________________________
Relationship to Nominee (friend, co-worker, etc.):
Options for Submitting Completed Nomination Forms
NOMINATIONS ARE DUE ON OR BEFORE OCTOBER 24, 2014
Via mail:
United Blood Services
Attn: Natalie Winburn
6220 E. Oak Street
Scottsdale, AZ 85257
Via fax:
480-675-5441
Online:
www.UnitedBloodServicesAZ.org/ShoverAward - complete and submit online
For additional information contact Linda Guthrie at 602-821-0085.
2014 BILL SHOVER LEADERSHIP AWARD
APPLICATION QUESTIONS
1. Please describe how your nominee (Senior Organizational Leader) has supported
the organization’s “Corporate Citizenship” objectives through the United Blood
Services/Arizona (UBS/AZ) community blood program. Please provide specific
examples on how the organizational leader sees UBS/AZ fitting into those
“Corporate Citizenship” objectives through blood drives, community partnerships
and/or awareness campaigns.
2. How does your nominee play an active role in the success of the UBS/AZ
community blood program within the organization, its management team and/or
work with blood drive coordinators? Please provide specific examples that
demonstrate how they support and encourage participation.
3. What personal and leadership characteristics does your nominee possess that
contribute, encourage and inspire the organization’s commitment to the UBS/AZ
community blood program?
NOMINATIONS ARE DUE ON OR BEFORE OCTOBER 24, 2014
BILL SHOVER LEADERSHIP AWARD RECIPIENTS
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
Dennis Lunde, Owner, Lunde’s Peoria Volkswagen
Derrick Hall, President and CEO, Arizona Diamondbacks
None awarded
None awarded
Michael D. Miller, President and COO, Scottsdale Insurance Company
Maryellen Gleason, President and CEO, The Phoenix Symphony
Dan Jonuska, General Manager, Saturn of Scottsdale
William Toops, Publisher/Owner, Glendale Star – Peoria Times
None awarded
Kimberly McWaters, President and CEO, Universal Technical Institute
None awarded
Fred Schaefer, UBS Volunteer; Phoenix Coyotes
Leonard Huck, President, Retired, Valley National Bank; Phoenix Suns
Flights for Life Pilots
Bill Shover, Arizona Republic
UNITED BLOOD SERVICES MISSION
Blood Systems exists to make a difference in people’s lives by bringing together the best
people, inspiring individuals to donate blood, producing a safe and ample blood supply,
advancing cutting edge research and embracing continuous quality improvement.
COMMUNITY LEADERSHIP COUNCIL
The Community Leadership Council is the volunteer advisory council of United Blood Services.
This group of community leaders is a dynamic force enabling UBS to enhance community
image, public awareness and expand the base of volunteer blood donors.
Thomas Joyce, CLC Chair
Brian Bogert,
CLC Vice Chair/Chair Elect
Camila Alarcon
Tara K. Cunningham, EdD
Monica Farrell
Laura Franco French
Clay Goodman, Ph.D.
Meghan Grabel
Tim Hill
Joseph Kanefield
Tara La Bouff
Debra Moody
Bill Odell
Lindsey Reiser
Smokey Rivers
Graham Rossini
Paul Sanders
Derek Seaman
Mark Staudohar
Vice President, Claim Operations, Scottsdale Insurance Co.
Producer Partner, Lockton Companies
Of Counsel, Withey Morris PLC
Assistant Dean & Assistant Professor, University of Arizona
College of Medicine Phoenix
Community Volunteer
Director of Community Relations & Legislative Liaison,
Arizona Office of Tourism
Vice President of Occupational Education, Estrella Mountain
Community College
General Manager, Regulatory Strategy, Pinnacle West
Capital Corporation/Arizona Public Service Company
President, Professional Fire Fighters of Arizona
Attorney, Ballard Spahr LLP
Owner, Taratory Marketing LLC
Supervisor, Commercial Construction, Salt River Project
Vice President, Corporate Communications, Universal
Technical Institute
Multimedia Journalist, CBS5
Community Volunteer
Vice President, Special Projects, Arizona Diamondbacks
Audience Development Director, Phoenix Business Journal
Senior Engineer, Westinghouse Electric Company
President, ACCENT Hiring Group
Honorary Members
Joy Carter
Leonard Huck
Tom Ambrose
Donald Buffmire, MD (Deceased)
Rabbi Robert L. Kravitz William Post
Bill Shover
Richard Silverman