Douglas Barclay of the Year Nomination Form

Awarded annually to a Past District Officer who continues to exemplify our Toastmasters values of integrity, respect, service & excellence and for their contributions and continued service as well as the promotion of Toastmasters to the outside community.

Each Club in good standing is entitled to nominate one member in good standing who meets most of the criteria and would accept the nomination. The nominee must agree to attend the Spring Conference, and the recipient must be present to receive the award.

Name of Nominee *

First

Last

Nominee Club Name

Nominee Club Number

Submitted by *

First

Last

Submitted by Club Name

Nominee Club Number (copy)

Instructions: For each Criteria, Provide your reasons in the fields below

Five years minimum as a District 86 Toastmaster (1 point per term)

Provide Justification above

Addition Information Served on the District Executive Committee: (last full term of office held must be a minimum of three terms prior to the date the award is presented i.e. last full term between July 1, 2014 to June 30, 2015 and the introduction of new titles):

District Governor/District Director (7 points per term)

Provide Justification above

Lieutenant Governor/Program Quality Director/ Club Growth Director (6 points per term)

Provide Justification above

*Division Governor/Division Director (5 points per term)

Provide Justification above

Area Governor, Public Relations Officer, District Secretary or Treasurer (4 points per term)

Provide Justification above

Appointed / Elected to an International Committee or Role serving District 86 Toastmasters (e.g. International Director, Region Advisor, Pathways Learning Master, Ambassador, Guide) (3 points per club)

Provide Justification above

Club Support (Sponsor, Mentor, Club Coach e.g. Formed a New Club or Rescued a Club) (2 points per role)

Provide Justification above

Served as a District Support Officer for a full term (e.g. District Committee Chair, SAA / Logistics Manager, Parliamentarian, Webmaster) or Conference Chair (1 point per role)

Provide Justification above

Club Officer Trainer or Workshop presenter at a District Conference, Toastmasters Leadership Institute(TLI) or Division Club Officer Training (1 point per role)

Provide Justification above

Coordinate and conduct Success/Leadership, Success/Communication program or Youth Leadership or Speechcraft (1 point per program)

Provide Justification above

Promoted Toastmasters in the media directly (e.g. via Newspaper, radio, TV, online or to businesses (1 point per term/ max of 10 points online).

Provide Justification above

File Upload: Upload any supported documentation (Word, PDF and jpg images supported)

Drag & Drop Files, Choose Files to Upload You can upload up to 4 files.

Each Club in good standing is entitled to nominate one member in good standing that continues to demonstrate our Toastmasters values and who meets most of the criteria.

The nominee must agree to attend the Fall Awards Ceremony, and the recipient must be present to receive the award.

Supporting documentation for each achievement that generates points should include the date of the term and the role performed. Testimonials are not required however, the nominee may include any additional Toastmasters accomplishments to support the application.

The nominee is expected to excel in most of the categories rather than in just a few.

*This information is available through various sections of the site at https://www.toastmasters.org/mytoastmasters/profile. Ask the nominee to sign in and provide this information. Links in form provide direct access.

For examples of District Support Officer roles, visit http://www.toastmasters86.org/district-86-
contacts/district-86.

If you have served as a Director (Area, Division, Club Growth, Program Quality, District, Immediate Past District) or Manager (Public Relations, Administration or Finance), you may be eligible to apply for this award as early as 2019-2020.

Submit nominations with supporting documentation by August 8, 2020 to: District Director 2019-2020 J3corneliuspayne@gmail.com

Please contact Jacklyn Payne if you have any questions or need more information.