2021 Affiliate Excellence Recommendation Form

 

The Minnesota State Retiree Council, AFL-CIO Don Anderson Affiliate Excellence Award is awarded to a retiree affiliate for unusual leadership in political education, political action, and community service aimed at improving affiliate participation to benefit retirees and working families. Affiliates of the Minnesota State Retiree Council, AFL-CIO, may submit recommendations for this award by completing this form and returning no later than Friday, August 20, 2021.

 

Name of affiliate you are recommending:_______________________________________

 

Local number: _________________ 

 

President:_______________________________________________________________

 

Address: ________________________________________________________________

 

Contact person:    __________________          Telephone number: ________________        

 

 

What activities has this affiliate accomplished in political education?

 

 

 

 

What has this affiliate accomplished in political action?

 

 

 

 

 

What has this affiliate accomplished in community service?

 

 

 

 

 

What other activities has this affiliate accomplished that the awards committee should consider?

 

 

 

 

Signature of nominator:___________________________________________________________

 

Union:     __________________________________________________________________________________

 

 

(Use back of form if necessary.)