Awards – Nomination Forms

Please submit the form associated with the Award of interest to the SQD Awards Chair by July 15th, 2016. Ensure that all fields are completed. Forms that with inaccurate information or lack of completion will be disqualified.

A.C. RosanderDedicated ServiceOutstanding ServicePartners For QualityStar Award

A.C. Rosander Award

The Serivce Quality Division’s highest honor, the A.C. Rosander Award, is given in recognition of outstanding long-term service and leadership resulting in substantial progress toward the fulfillment of the Division’s programs and goals.

Nominees shall be in good standing as at least a Senior member of the ASQ and member of the SQD. Nominees shall have been active in the Division for at least ten consecutive years. Service in other Divisions or associated committees is considered. Nominees shall have actively served in several leadership positions in the Division or associated committees over a significant portion of the minimum eligibility period. Nominees shall be recognized for major contributions towards advancing the goals, growth, or professional stature of the Division.

An individual can receive this award only one time.

Submitter's Information

Your Name*

Your Phone Number:

Your Email*

Nominee's Information

Nominee's Name*

Nominee's Phone Number:

Nominee's Email*

Nominee's Employer*

Nominee's Employer Address*

Nominee's Immediate Supervisor's Name*

Please Provide accomplishments and comments to support this nomination:

Dedicated Service Award

The Service Quality (SQD Dedicated Service Award is given in recognition of consistent and reliable service in behalf of the Division’s program and goals. The award is primarily intended for, but not limited to, individuals that have successfully completed an assignment but with little opportunity for what could be classified as exceptional results.

Nominees shall be in good standing as a member of the ASQ and member of the SQD, or alternatively if not members, they must have directly supported Division functions in a consistent and reliable manner. Nominees shall be recognized for consistent and reliable contributions to the goals, growth, or professional stature of the Division

The award is presented once only for any given accomplishment. As an example, a Treasurer may receive an award for dedicated service as Treasurer only once during his/her tenure as Treasurer.

Submitter's Information

Your Name*

Your Phone Number:

Your Email*

Nominee's Information

Nominee's Name*

Nominee's Phone Number:

Nominee's Email*

Nominee's Employer*

Nominee's Employer Address*

Nominee's Immediate Supervisor's Name*

Please Provide accomplishments and comments to support this nomination:

Outstanding Service Award

The Service Quality Division (SQD) Outstanding Service Award is given in recognition of above average effort in fulfilling the goals and professional stature of the Division. Nominees shall be in good standing as member of the ASQ and member of the SQD, or alternatively if not members, they must have directly supported critical Division functions in an exceptional manner. Nominees shall be recognized for above average contributions to the goals, growth, or professional stature of the Division.

The award is presented once only for any given accomplishment. As an example, a Treasurer may receive the award for outstanding service as Treasurer only once during his/her tenure as Treasurer.

Submitter's Information

Your Name*

Your Phone Number:

Your Email*

Nominee's Information

Nominee's Name*

Nominee's Phone Number:

Nominee's Email*

Nominee's Employer*

Nominee's Employer Address*

Nominee's Immediate Supervisor's Name*

Please Provide accomplishments and comments to support this nomination:

Partners for Quality Award

The Service Quality Division (SQD) Partners for Quality Award recognizes an Employer providing support to an individual where there is significant benefit to the Division.

Employer Nominees who support an individual must have provided full expenses and allocated adequate time and resources to facilitate the active involvement of an individual during a three year period.

A given employer may only receive the award one time.

Submitter's Information

Your Name*

Your Phone Number:

Your Email*

Nominee's Information

Nominee's Name*

Nominee's Phone Number:

Nominee's Email*

Nominee's Employer*

Nominee's Employer Address*

Nominee's Immediate Supervisor's Name*

Please Provide accomplishments and comments to support this nomination:

Nominees shall be a member, in good standing, of ASQ and the ASQ Service Quality Division. Nominees shall be recognized for major contributions toward advancing the growth and professional stature of Service Quality through his/her work. Examples of “star performance” include taking a company through a quality certification (ISO 9001, CMMI for Services, etc…) implementing a new quality program or measurement tool with outstanding results, etc…

Nominator's Information

Name of Nominator(s)*

Your Phone Number:

Your Email*

Submission Date*

Business/Company Supported*

Nominee's Information

Name of Candidate*

Nominee's Phone Number:

Nominee's Email*

Nominee's ASQ Activities*

Nominee's Previous Honors (ASQ or others - optional)

Describe why the candidate should receive this award (list all appropriate accomplishments - past and present. Use additional page, if necessary)*

Citation for Award (summarize in no more than 32 characters if possible)*

Will the candidate be attending the ASQ Service Quality Division Conference?*

Will the candidate be attending the ASQ World Conference on Quality Improvement?*

Please Provide accomplishments and comments to support this nomination: