Jim & Ruth Howland Special Achievement Award Nominee

Jim & Ruth Howland Special Achievement Award Nominee Questionnaire

Congratulations on being nominated for the Jim and Ruth Howland Lifetime Achievement Award! The 68th Annual Celebrate Corvallis will be held January 15, 2016, at the CH2M Hill Alumni Center.

Named after Jim & Ruth Howland, this award is to honor long standing service to our community. Jim Howland was one of the founders of CH2MHill and longtime Chamber member. He and his wife Ruth provided leadership, time and money to important community projects such as the Riverfront Park and the CH2M Hill Alumni building.

Please Note: It is highly recommended that you download and fill out the Word document version here, then copy and paste your answers in the form below.

****Deadline to complete this form is December 7th by 5 PM****

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Please list awards you have recieved and community or professional organizations in which you have been involved. *

In no more than two paragraphs, please describe how your early years shaped your character and led you to become the person you are. *

In no more that two paragraphs, please describe your committment to the community and what you hope you will be more remembered for in years to come (Lasting Impact). *

Please include below any additional information you would like us to consider during our selection. *

**All nominees receive one (1) ticket to the event, additional tickets or reserved tables must be purchased HERE!

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