Outstanding International Committee Member

The Outstanding International Committee Member Award was designed to recognize members who serve on International Committees and/or Task Forces and excel in their respective positions, going above and beyond their assigned responsibilities.

General Guidelines

An International Chairperson or Sub/Vice Committee Chairs are the only individuals who may apply for this award on behalf of their Committee or Task Force Members.
A maximum of two (2) applications per Committee or Task Force will be considered.
In order to be eligible for this award, the nominee must have complied with all aspects of the Circle K International Bylaws, Policy Code, and respective District Bylaws, Policy Codes, and Operating Procedures.
The nominee(s) must accumulate a total of at least 90 out of the 100 possible points (90%). Applicants can make up no more than 10 “extra credit” points from missed criteria from Sections 1-3 in the Above & Beyond Section.
Acceptable forms of communication include emails, instant messages (e.g., Facebook, Slack, etc.), newsletters, phone conversations, video calls, or written correspondence.
All applications must be submitted online by the deadline stated at the top of this application. No late submissions will be considered.

Summary of Award

Section 1 - Tasks and Assignments (25 points)

Section 2 - Attendance (25 points)

Section 3 - Communication (20 points)

Section 4 - Letters of Recommendation (30 points)

Section 5 - Above and Beyond (10 points)

Qualifying Criteria & Eligibility

Nominee's Name*

First Name

Last Name

Nominator's Name*

First Name

Last Name

Nominator's Email Address*

International Committee/Task Force Name*

Did the nominee serve a minimum of six (6) months in the office? *

Is the nominee a dues-paid member of Circle K International? *

Did the nominee pay District Dues by December 1st, 2023?*

Please provide verification that the nominee qualifies as a member in good standing of their home club.*

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Permanent address that we can ship award to if needed:

Address Line 1

Address Line 2

City

State/Province

ZIP / Postal

Country

Section 1 - Tasks and Assignments (25 Points)

1. What is the nominee’s official position on the Committee/Task Force?*

2. Please list the official tasks the Committee/Task Force Chair assigned to the Committee Member/Task Force Member.*

3. What percentage of the assigned tasks did the member complete? (10 points for 100%, 8 for 75-99%, 5 for 50-74%, 1 for 1-49%)*

3a. Please provide at least two (2) examples of task completion for each task completed. Include a timestamp for each piece of evidence.*

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4. In 300 words or less, explain how the member’s contributions helped the committee/Task Force achieve its goals. Please also detail what was expected from the nominee and how they completed and expectations. (15 points)*

Section 2 - Attendance (25 points)

1. How many meetings did the Committee/Task Force hold?*

2. How many meetings did the nominee attend, adding meetings for which the nominee was excused due to class, exams, work, sickness, District Board meetings, or other club visitations? (25 points for 100-99%, 20 points for 99-80%, 15 points for 80-70%, 10 points for 70-60%, 5 points for 60-50%, 3 points for below 50% )*

Section 3 - Communication (20 Points)

1. Please provide the number of communications between the chairperson and the nominee. Please refer to the Award Guidelines for acceptable forms of communication. (2 points per 3 communications, max of 20 points)*

Section 4 - Letters of Recommendation (30 Points)

You must also include two (2) letters of recommendation for the nominee. The Committee/Task Force Chair may write one of the two letters, but at least one letter has to be from a member of the committee. These letters should be no more than 750 words each and highlight personal and professional reasons as to why they deserve to be an Outstanding International Committee Member. (15 points each)

1. Letter of Recommendation *

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2. Letter of Recommendation*

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Section 5 - Above and Beyond (10 points)

To receive bonus points, you may submit up to five (5) pieces of evidence of performance above and beyond the call of duty, including recommendations and documentation of achievements not covered in Sections 1-4 of this application. (Up to 2 points per evidence, max of 10 points)

Evidence #1

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Evidence #2

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Evidence #3

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Evidence #4

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Evidence #5

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1. For each piece of evidence, please write no more than 100 words about why you included it in “Above and Beyond” and what significance it adds to your application.

2. If you did not meet any of the criteria covered in Sections 1-3 of this application and have valid reasons why you feel you should be exempt, please explain why in 100 words or less per criteria missed.