Walker Curry Award Form Walker Curry Memorial Award - Outstanding Circle K Member The Walker Curry Memorial Award is presented to an individual who is deemed by the District Board to have rendered outstanding service to the Circle K Movement since induction as a member. 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 members in good standing with the Alabama District for a minimum of one year and must be in good standing with the Alabama District for the majority of the current administrative year. Members of the District Board of Officers are not eligible for this award. Each club may nominate one individual. All 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 at the Winter Board meeting. Your Name*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*Circle K Chapter*Alabama State UniversityAuburn UniversityBirmingham Southern CollegeCoastal Alabama Community CollegeEnterprise State Community CollegeGadsden State Community College - GadsdenJacksonville State UniversityTroy UniversityThe University of AlabamaUniversity of Alabama at BirminghamUniversity of Alabama at HuntsvilleUniversity of North AlabamaUniversity of South AlabamaForm Upload*Upload the award excel formAccepted file types: xls, xlsx.Circle K Club President Signature*Circle K Club Secretary Signature*Kiwanis or Faculty Advisor Signature* Δ This iframe contains the logic required to handle Ajax powered Gravity Forms.
