Apex Australia
HARRY HODGES BEST FIRST YEAR
APEXIAN AWARD
NOMINATION FORM
The Apex Club of ……………………
Hereby nominates
As the Best First Year Apexian of the Year
from the Region ……………………………….
and provides the following in support of this application
Please attach any additional information & letters in support of the nomination
APEX HISTORY (for past Twelve Months)
Personal Record
Name
Date Joined
Club / Board Position
% Dinner Meeting Attendance
Club
Meetings
Service Hours
No of Events
attended
Makeups
Interclub Visits
Convention/Meeting Attendance
(Regional / National)
New Members Sponsored
VIP Award Points
Citizenship/Community Activities (other than Apex) and Positions
Position
Organization
Service Hours
Club Support
This nomination was sighted by and approved for submission
by the Club Board at a meeting held on
_______________
Signed
Club President
Club Secretary
Details of Outstanding Achievement performed by this member:
Details as to why this member should be considered for the Young Apexian of
the Year Award: