Matusak Award Nomination Form The Matusak Courageous Leadership Award The Matusak Courageous Leadership Award seeks to recognize and honor leaders who go above and beyond in expressing leadership in a bold and courageous manner in the face of difficulty and social obstacles. The biannual award is presented by the Alliance of Leadership Fellows (ALF) and their significant partners. The nomination process will consist of a two-stage process, with Stage 1 being a general nomination process to gain a qualified pool of finalists, and Stage 2 consisting of finalist interviews by the Courageous Leadership Award Selection Committee. Stage 1 nominations are due before June 30, 2024. The award is scheduled to be presented in conjunction with the International Leadership Association Global Conference taking place in Chicago in November, 2024. Self nominations are permitted. Full Name of Nominator * Email Address of Nominator * Phone Number of Nominator * Full Name of Nominee * Email Address of Nominee * Phone Number of Nominee * Organization (if any) and Address of Nominee * Please include City, State and Zip Code SUPPORTING DOCUMENTATION – Please prepare a nomination narrative covering the three topics below using no more than 1000 words. 1) Provide a synopsis of the nominee’s courageous leadership contributions that exhibit his/her ability as an effective agent of change in promoting the common good in difficult times and situations. 2) What is/are the nominee’s most notable achievements as a courageous leader and/or follower? 3) How has this nominee served as a mentor, role model, or made any other significant contributions to community action and/or the field of practice of leadership? Supporting Information for Nomination * Please post supporting information in this field (no more than 1000 words), or upload a document with this information in the field below. Optional file upload with supporting information (no more than 1000 words). Drop a file here or click to upload Choose File Maximum file size: 83.89MB Submit If you are human, leave this field blank.