roane county chamber of commerce

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ROANE COUNTY CHAMBER OF COMMERCE PAUL E. GOLDBERG YOUNG PROFESSIONAL AWARD 2016 To be considered for the Paul E. Goldberg Young Professional Award, a person must be a Chamber member or an employee of a Chamber member and under 40 years of age. Persons who have received this award in previous years are not eligible. Each Chamber member is requested to nominate a person for this award. The Nominee should be significantly involved in business, professional, educational, community, and civic or church affairs demonstrating outstanding performance or unusual contribution to Roane County and to his/her business or community. The Nominee must be non-controversial, highly respected in his/her field and a resident of Roane County for at least one year. I wish to nominate________________________________________for this award. Additional information can be attached and submitted with this form. Chamber member: Yes (please circle) PERSONAL HISTORY Name_________________________________________________________________________ Address________________________________________________________________________ City____________________________State____________________Zip_____________________ Telephone Number_________________________Marital Status_________________________ Children (names and ages)________________________________________________________ PROFESSIONAL HISTORY (OCCUPATION)

CIVIC ACTIVITIES

OUTSTANDING QUALITIES

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SUMMARY

The recipients that have received this award in previous years are not eligible. 2010 2011 2012 2013 2014 2015 2016

Chris Mason Chris Ahler Wade Creswell Brantley Rivers Chris Ahler Kim Nelson

Submitted By:________________________ Please complete and submit by March 24, 2016 Roane County Chamber of Commerce 1209 North Kentucky Street, Kingston, TN 37763