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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. • Focus on nominee’s area(s) of greatest impact and innovation on the community blood program. • 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. • The nomination application must be completed in full. Do not enclose the application in a folder or binder. • 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