Randall S. Williams Distinguished Circle K Alumnus Award The Randall S. Williams Award is presented to an individual who is deemed by the District Board to have rendered outstanding service to the Circle K Movement. Since this award may be given on the basis of contributions for more than one year, it is an award given for life; therefore, it is awarded to an individual only once. Nominees must be Alumni of Circle K and must have been affiliated with Circle K in a non-member capacity for a minimum of one year. The accomplishments and contributions of nominees while they were Circle K members will not be considered. Each club may nominate one individual. The report is to be endorsed by the Circle K Club President, the Circle K Club Secretary, and either the Kiwanis or Faculty Advisor. Reports without these signatures will not be judged. nnAll nominations must be submitted to the District Board no later than the Winter Board meeting, or they will not be considered. Members of the District Board may submit a nomination in the above format at the Winter Board meeting. The District Board reserves the right to decline to present this award in a year when it is determined that there are no qualified nominees. Your Email*Please list your current email so that we can contact you should an issue occur. Address*Provide the club's mailing address to which the award can be sent if needed. Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Nominee*Nominating Circle K Chapter*Alabama State UniversityAuburn UniversityBirmingham Southern CollegeCoastal Alabama Community CollegeGadsden State Community College - GadsdenEnterprise State Community CollegeJacksonville State UniversityTroy UniversityThe University of AlabamaUniversity of Alabama at BirminghamUniversity of Alabama at HuntsvilleUniversity of North AlabamaUniversity of South AlabamaBiographical SketchInclude campus and community involvement, leadership, scholarship, and character. Maximum 10 points possible awarded at the discretion of the district board.Circle K activitiesInclude service, accomplishments, and impact on organization. Maximum 10 points possible awarded at the discretion of the district board.Statement of reasons why the individual deserves this award.Maximum 10 points possible awarded at the discretion of the district board.Circle K Club President Signature*Circle K Club Secretary Signature*Kiwanis or Faculty Advisor Signature* Save and Continue Later Δ This iframe contains the logic required to handle Ajax powered Gravity Forms.