Document 6603468

April 2014
Dear Members of the AFP Upper Mississippi Valley Chapter:
As you know, National Philanthropy Day® is the day we recognize and pay tribute to the contributions that
philanthropy and philanthropists have made to our great region and nation.
On behalf of the AFP Upper Mississippi Valley Chapter and National Philanthropy Day, we invite nominations for
the following awards: Outstanding Philanthropist, Outstanding Volunteer Fundraiser, Outstanding Philanthropic
Organization, Outstanding Professional Fundraiser, and Outstanding Youth in Philanthropy.
In the past, we have been honored to be able to recognize individuals and organizations that have made the
commitment to support philanthropy while keeping the spirit of civic betterment alive and strong. This year our
organization again looks forward to taking an inventory of those who have made a difference in our respective
organizations and communities. Your participation in this process is vital to the accomplishment of our goal—
to recognize exceptional individuals and organizations that have helped to advance philanthropy.
Any community member may now nominate someone for an award. Please feel free to forward this information
to people in the community. Enclosed is a brief description of each award, followed by questions and guidelines to
assist you in completing a nomination. These questions—and your narrative responses to them—will serve as the
primary basis of the application and the board’s award selections. Please answer each of the questions in detail for
each nomination you submit. Electronically submit completed nominations to Jackie Jensen-Utz; [email protected].
Nomination forms are also available on the AFP Upper Mississippi Valley website at www.afpumv.org. If you
require assistance in preparing a nomination, please feel free contact me at [email protected] or
(608) 785-3508. All nominations must be received by no later than Friday, May 16, 2014.
Each of us is aware of individuals and organizations who meet the criteria listed on the enclosed nomination
materials. Please take a few minutes to complete a nomination form, so we may collectively say “thank you” for
their generosity.
I look forward to hearing from you and appreciate your support of this important work.
Sincerely,
Jackie Jensen-Utz
Jackie Jensen-Utz
President, AFP-Upper Mississippi Valley Chapter
P.S. Please mark your calendar and plan to join us for the 29th annual National Philanthropy Day® celebration on
Friday, November 14, 2014, at the La Crosse Radisson. Invitations will be mailed in October.
Association of Fundraising Professionals, Upper Mississippi Valley Chapter
PO Box 164  La Crosse, WI 54602-0164
www.afpumv.org
2014 AWARDS GUIDELINES
The Association of Fundraising Professionals (AFP) sponsors an annual awards program to recognize
outstanding achievement by individual, foundation, and corporate philanthropists; fundraising volunteers; and
professional fundraising executives.
In professional fundraising, such individuals and organizations form a vital partnership that philanthropy must
have to maintain its contribution to humankind. It is right and proper, therefore that the Upper Mississippi
Valley AFP Chapter honors those who hold high ethical standards and best exemplify commitment, dedication,
and talent toward helping society.
These awards are given in recognition to those individuals and organizations whose life-time or long-term
achievements have made a significant impact in our region.
For each award, please review and follow these guidelines:
1. If submitting a new nomination, please answer each of the questions noted completely and thoroughly.
YOUR ANSWERS WILL SERVE AS THE PRIMARY BASIS FOR AWARD SELECTIONS!
2. Your Nomination should include:
a) Cover page (pages 1 and 2)
b) Nomination Form – not to exceed three pages
c) Up to three letters of endorsement – each letter should not exceed 2 pages. Resumes, annual reports, or
personal vitae are not accepted as part of the application.
3. Double check. Is your nomination complete? Use the following check list to verify.
Completed cover page containing all contact information
Completed Nomination Form
Up to three letters of support/endorsement
Deadline: May 16, 2014
Association of Fundraising Professionals, Upper Mississippi Valley Chapter
PO Box 164  La Crosse, WI 54602-0164
www.afpumv.org
2014 AWARDS NOMINATION COVER PAGE, page 1
Instructions: Save this document to your computer and complete it electronically. Email or print and mail your completed
packet to AFP Upper Mississippi Valley Chapter • Attn. Jackie Jensen-Utz • PO Box 164 • La Crosse, WI 54602-0164.
Deadline is May 16, 2014.
Award Category
Outstanding Philanthropist Award
Outstanding Philanthropic Organization Award
Outstanding Youth in Philanthropy Award
Outstanding Volunteer Fundraiser Award
Outstanding Professional Fundraiser Award
Nominee’s Information
Please provide the nominee’s contact information.
NAME (FIRST AND LAST ARE REQUIRED)
ADDRESS
CITY
DAY PHONE
STATE
ZIP
E-MAIL ADDRESS
Does this person have an assistant who should be our first contact? If so, please provide that information.
NAME (FIRST AND LAST ARE REQUIRED)
ADDRESS
CITY
DAY PHONE
STATE
ZIP
STATE
ZIP
E-MAIL ADDRESS
Nominator’s Information
Please provide your name or the nominating organization.
NAME (FIRST AND LAST ARE REQUIRED)
NAME OF ORGANIZATION
ADDRESS
CITY
DAY PHONE
E-MAIL ADDRESS
If there is someone other than the person signing this letter we should contact, please provide that information.
NAME (FIRST AND LAST ARE REQUIRED)
NAME OF ORGANIZATION
ADDRESS
DAY PHONE
CITY
STATE
ZIP
E-MAIL ADDRESS
Association of Fundraising Professionals, Upper Mississippi Valley Chapter
PO Box 164  La Crosse, WI 54602-0164
www.afpumv.org
2014 AWARDS NOMINATION COVER PAGE, page 2
Supporting/Endorsement Letters
Please provide the name and contact information of up to three supporting/endorsement letters.
NAME (FIRST AND LAST ARE REQUIRED)
NAME OF ORGANIZATION
ADDRESS
DAY PHONE
CITY
STATE
ZIP
STATE
ZIP
NAME OF ORGANIZATION
ADDRESS
CITY
E-MAIL ADDRESS
NAME (FIRST AND LAST ARE REQUIRED)
NAME OF ORGANIZATION
ADDRESS
DAY PHONE
ZIP
E-MAIL ADDRESS
NAME (FIRST AND LAST ARE REQUIRED)
DAY PHONE
STATE
CITY
E-MAIL ADDRESS
Once the above is complete, continue on to the appropriate Nomination Form. Note: Each answer in the Nomination
Form is scored separately.
2014 AWARDS NOMINATION FORM
AFP Outstanding Philanthropist
Note: Answers to the following questions should not exceed three pages.
This award is presented to an individual, couple, or family with a proven record of exceptional generosity. Recipients will
have demonstrated outstanding civic and charitable responsibility and generosity, which encourages others to take
philanthropic leadership roles on a community, national, and/or international level. Your nominations should include the
following information with specific examples:
Evidence of direct gift support
Description of impact of gift support
Evidence of encouragement and motivation given to others to take leadership roles in philanthropy
Description of participation in gift support to other nonprofit organizations in the community, nationally, and/or
internationally
Past Award Recipients
Ruth M. Dalton, MD*
Benjamin Miller*
D.B. Reinhart*
Charles D. Gelatt
Milton A. Lunda
Elizabeth Callendar King*
Philip S. Davy*
Russell* & Gail Cleary
Norman L. Gillette, Sr.*
Robert & Stefannie* Kierlin
David & Marilyn Hoffman
Gertrude Salzer Gordon* &
Donald E. “Sandy” Gordon*
Michael & Joette Gostomski
Dr. David & Sacia Morris
Marjorie Reinhart*
Ervin G. Bublitz, PhD
Jess* & Marilyn Ondell
Steve & Barbara Slaggie
David & Muriel Arnold
Peter Hoffman
David & Barbara Skogen
Don & Roxanne Weber
Jeb & Pam Griffith
Donald & Norma Vinger
David & Brenda Carlson
John & Linda Lyche
Marjorie and Charles Collins
Association
AssociationofofFundraising
FundraisingProfessionals,
Professionals,
Upper
UpperMississippi
Mississippi
Valley
ValleyChapter
Chapter
PO Box 164
POBox
La Crosse,
164  LaWI
Crosse,
54602-0164
WI 54602-0164
 VOICE: 608-785-9261
[email protected]
www.afpumv.org
 www.afpumv.org
2014 AWARDS NOMINATION FORM
AFP Outstanding Volunteer Fundraiser
Note: Answers to the following questions should not exceed three pages.
The individual eligible for this nomination must have demonstrated exceptional leadership as a volunteer for a major
fundraising project for one or more nonprofit organizations. The recipients should demonstrate exceptional skills
coordinating and motivating groups of volunteers for fundraising projects for the benefit of charitable institutions and a
commitment to the advancement of philanthropy. List your nominee’s specific achievements for the past year or several
years.
Evidence of quality and organizational ability in fundraising campaigns
Description of time, effort, and financial commitment
Description of fundraising goals achieved by his/her effort
Evidence of success in recruiting and motivating others
Description of participation in other local, national, and/or international nonprofit organizations
Past Award Recipients
James O. Ash*
William Kerrigan
Philip Feiten
Jean Gitz Bassett
Deak Swanson
R. Jerome Boge
Dirk L. Gasterland
Mariel Carlisle
Phil Henoch
Richard Beggs, Sr.*
Paul Poehling
Donald Sieger*
George & Marita Smith
Judy Bouffleur
Bernard Pralle
Gil Homstad
Jan Brock
Patricia Heim
Dr. Kermit & Barbara Newcomer
Gary Evans
Brad & Lynn Sturm
Susan Cornwell*
Mary Patros*
Don & Cheryl Brenengen
Mary M. & Albert* P. Funk, Jr.
Patty Brown
Dennis Vogel
Jay Jaehnke
Drs. Tom Thompson &
Jean Heyt Thompson
Association of Fundraising Professionals, Upper Mississippi Valley Chapter
PO Box 164  La Crosse, WI 54602-0164
www.afpumv.org
2014 AWARDS NOMINATION FORM
AFP Outstanding Philanthropic Organization
Note: Answers to the following questions should not exceed three pages.
The nominee organization must have demonstrated outstanding commitment through financial support and through
encouragement and motivation of others to take leadership roles toward philanthropy and community involvement. List your
nominee’s achievements, including:
Evidence of direct gift support indicated by support of projects in the community, nationally, and/or internationally
Description of impact of gift support on projects
Description of specific achievements accomplished through the organization’s efforts
Evidence of encouragement and motivation given to others to take leadership roles toward philanthropy and
community involvement
Evidence of philanthropic support of innovative approaches to solving problems
Past Award Recipients
Hiawatha Education Foundation
La Crosse Community Foundation
Quillins, Inc.
Century Telephone
State Bank of La Crosse
Dayton’s--Valley View Mall
Children’s Miracle Network
Coulee State Bank
Merchants National Bank
Norwest Bank of Winona
Town and Country State Bank
Winona National and Savings Bank
Northern States Power Company
Tri-Quest Charities, Inc.
Wipfli
Trane Family Foundation
Franciscan Skemp Auxiliary
Ronald McDonald House Charities
of Western Wisconsin
Ray Hutson Chevrolet-Nissan
Family Radio, Inc.
Kwik Trip Inc.
Fowler and Hammer, Inc.
Gundersen Lutheran Health System
Winona Health Auxiliary
Travel Leaders
Partners of Gundersen Lutheran
Decorah Bank & Trust
Festival Foods
Association
Association
of of
Fundraising
Fundraising
Professionals,
Professionals,
Upper
Upper
Mississippi
Mississippi
Valley
Valley
Chapter
Chapter
PO Box 164  La
POCrosse,
Box 164
WI 54602-0164
La Crosse, WI
 VOICE:
54602-0164
608-785-9261
[email protected]
www.afpumv.org
 www.afpumv.org
2014 AWARDS NOMINATION FORM
AFP Outstanding Youth in Philanthropy
Note: Answers to the following questions should not exceed three pages.
In 2010, the Upper Mississippi Valley Chapter of AFP introduced this new award—Outstanding Youth in Philanthropy—to
recognize a K-12 student who has demonstrated outstanding commitment to the community through helping to generate
direct financial support, development of charitable programs, and leadership in philanthropy.
Your nomination for this award should include the following:
Description of what the nominee did, including goals, process, budget, and other people involved in the process (adult
leaders or adviser) and of the time, talent, and/or treasure the youth gave for the common good and the results that
were achieved.
Description of the impact the nominee/project had on the community, including numbers of people involved,
organizations helped, etc. Please include the names and contact information of individuals at the organizations who
benefited from the nominee’s work.
Long-term (1-2 years) impact of the nominee’s work. Will the project/s be ongoing? Has the nominee considered the
next steps? Is s/he working on other projects?
Past Award Recipients
Marli Overgard
Ashley & Alyson La Rue
Association of Fundraising Professionals, Upper Mississippi Valley Chapter
PO Box 164  La Crosse, WI 54602-0164
www.afpumv.org
2014 AWARDS NOMINATION FORM
AFP Outstanding Professional Fundraiser
Note: Answers to the following questions should not exceed three pages.
This award is designed for an outstanding individual fundraising professional and AFP member who works directly for a
nonprofit, charitable organization and practices his/her profession in an exemplary manner. Generally, consultants or other
individuals not working directly for a charity are ineligible for this award. Nominees must have a minimum of 10 years of
experience as a professional fundraiser working directly for a nonprofit organization (years as a consultant will not be
considered). Your nomination should include the following:
Description of career achievements, length and tenure of fundraising background, experience and results
Evidence of quality of leadership that is effective, creative, and stimulating, and evidence that the individual acts as a
team player
Active membership in AFP and other professional organizations, and evidence that the individual practices and
promotes the AFP Code of Ethical Principles and Standards of Professional Practice, the Donor Bill of Rights, and
similar principles.
Description of the nominee’s commitment to continuing professional development (e.g., CFRE/ACFRE certification,
conference participation, publication, and/or professional education) and demonstration of sharing knowledge and
expertise through presentations, mentoring, publications
Evidence of commitment to fundraising and to philanthropy through voluntary service and financial support of
nonprofit organizations
Past Award Recipients
T.J “Tim” Burchill, CFRE*
Nora A. Starcher, CFRE
James Hanzel, CFRE
Patrick J. Stephens, CFRE
Lorilee Rebhan
Mary Rohrer
Terry Erickson
Salvatore Polizzotto
Joseph B. Durst, MD
Philip Schumacher, ACFRE
David Roslien, Ph.D.
Allen T. Trapp, Esq.
Peter Grabow, CFRE
Robyn Tanke, CFRE
David Amborn, CFRE
Gary Klein, CFRE
Kathy Moen
Bill Medland, Ph.D.
Mike Desmond
Association of Fundraising Professionals, Upper Mississippi Valley Chapter
PO Box 164  La Crosse, WI 54602-0164
www.afpumv.org