Robert D. Dixon Founders' Award Nomination Form

2021 Robert D. Dixon Founders' Award Nomination Form

If you prefer, download a copy of this form and submit to us via:
Mail: 521 E. Locust St. Suite 202, Des Moines, IA 50309
Email: dcaris@cbiaonline.org • Fax: 515-453-1498

The Robert D. Dixon Founders’ Award recognizes a community banker for that person’s dedication and devotion to the community banking community in Iowa.

Factors considered in selecting the Founders' Award recipient include: dedication to community banking and community, involvement in Community Bankers of Iowa and ICBA, and the industry in general. This is a great opportunity to give well deserved recognition to a great Iowa community banker.

NOTE: Only CBI Member Bank employees may nominate or be nominated for the Founders' Award. Nominations must be received no later than May 24, 2021.

I would like to nominate the following banker for the 2021 Founders' Award:

* Indicates required field

Nominee's Name *

First

Last

Nominee's Bank *

Nominee's City *

They are deserving of this award because of the following examples of industry, association and community leadership: *

Nominated By:

Your Name *

First

Last

Your Bank *

Your City *

Attach any additional pages, resumes, or other information, documentation and support.

Upload File *

Max file size: 20MB

Files are accepted in the following formats: PDF, Word Doc (.doc or .docx), TXT, or RTF.
Compressed files containing multiple documents can be accepted in ZIP or RAR format.

All nominations must be received no later than May 24, 2021.

Submit Your Nomination

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