This application must be completed by the Chapter Advisor of the nominee's home chapter, with a second by the active consul. Once complete submit the form by e-mail to Brother Malcolm MacLeod at mmacleod (at) idirect (dot) com.
As Chapter Advisor and nominator of this award, I hereby support this nomination after having duly considered at least 3 active chapter members from the nominee’s chapter. By submitting this form, it will serve as my signature for this award.