NOMINATION FORM - DOC 1
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2010
DFW SIM CHAPTER
INFORMATION TECHNOLOGY
(IT) EXECUTIVE OF THE YEAR
AWARD
NOMINATION FORM
NOMINATIONS DUE December 31, 2010
Attn: Jack Becker
Phone: 940-565-3110 or 3113
Email: becker@unt.edu
Fax: 940-565-4935
9/14/2012 Page 1
2010 DFW IT EXECUTIVE OF THE YEAR AWARD
OVERVIEW ABOUT SIM
4) Ensure the form is complete
The DFW IT Executive of the Year Established in 1968, the Society for
award was created to recognize The judges will only have the Information Management (SIM) is
excellence in IT leadership within information you provide upon which the premier network for IT leaders
the Dallas/Ft Worth Metroplex area. to base their assessment. So comprised of over 3,200 members,
please be as complete and as including CIOs, senior IT
HISTORY specific in your answers as executives, prominent
possible. academicians, consultants, and
This is the 13th year the DFW SIM other IT leaders. SIM is a
Chapter has made this award. Feel free to attach as many community of thought leaders who
Many of the past winners were additional pages as necessary to share experiences and rich
members of the DFW SIM Chapter; make your answers as complete as intellectual capital that is applied,
however this is NOT a requirement. possible. As a guideline, we and who explore future IT direction.
Many of the past winners have believe that five (5) single-spaced See DFW.simnet.org for more
already been promoted to higher pages of narrative should be information.
levels in their own firm or another adequate.
organization.
5) Return this form (pages 3 and 4
JUDGES & JUDGING
only, plus attachments) via mail,
HOW TO SUBMIT A email or fax along with any
attachments to Dr. Jack Becker Dr. Jack Becker,
NOMINATION Judging Process Coordinator
Email: becker@unt.edu; Fax: 940-
First, thank you on behalf of your 565-4935 Business Computer Information
nominee for taking the time to Systems Department;
submit this nomination. The If you have any questions on how University of North Texas &
following information should be to complete this nomination, please Communications & PR Chair,
helpful in completing the process. contact Dr. Jack D. Becker at SIM – DFW Chapter
becker@unt.edu; 940-565-3110 or Ph: 940-565-3110 or 3113
1) Fill out the fields on the 3113. Email: becker@unt.edu
subsequent pages detailing the Fax: 940-565-4935
achievement of the executive Softcopies of this form are available
at: http://DFW.simnet.org - Judges shall remain
2) Ensure nominee meets award anonymous until after the
(Dallas/Ft Worth Chapter site).
requirements: judging.
Each nominee must be a current or Feel free to nominate more than - Judges’ decisions are final.
former senior Information one individual. Last year four
Technology executive in a individuals were recognized at the
Dallas/Fort Worth Metroplex DFW SIM Chapter’s Award
company, government agency, Ceremony. This year’s ceremony
educational institution or non-profit is scheduled for first our Open
organization. Events Meeting in March, 2011.
Activities for which the individual is
nominated should have been SELECTION CRITERIA
successfully completely or The numbers in parentheses after
substantially accomplished during each question indicate the weight
the current calendar year. (out of a possible 100 points) that
will be applied to that question.
APPLICATION DEADLINE
December 31, 2010; 6:00 PM CST
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2010 DFW IT EXECUTIVE OF THE YEAR AWARD
NOMINEE:
Name _________________________________ Title: __________________________________
Company ______________________________________________________________________
Reports to (name/title) __________________________________________________________
Nominee’s Address: _____________________________________________________________
______________________________________________________________________________
Phone Number __________________________ Fax Number ____________________________
E-Mail Address __________________________
NOMINATED BY:
Name _________________________________ Company ______________________________
Title ___________________________________
How do you know Nominee?____________________
Your Address ___________________________________________________________________
______________________________________________________________________________
Phone Number _______________________ Fax Number ____________________________
E-Mail Address __________________________
OTHER INFORMATION:
CEO of Nominee: _______________________ CEO Phone Number: _____________________
CEO Email: ____________________________________________________________________
Corporate Website: _____________________________________________________________
[Note: All nominations must include CEO information]
NARRATIVE INFORMATION:
Mr./Mrs./Ms._____________________________________ should be considered for the 2010 DFW IT
Executive of the Year. This nominee has either completed or substantial completed the following projects
or accomplishments during the current calendar year. Please do not limit narratives to only one page. The
more detailed the information provided, the easier it will be for the judges to make their numerical evaluations
of the nominee’s achievements. However, please, do not exceed more than five (5) additional single-spaced
pages (10 font or larger; 1” margins; excludes the first three pages of this form). Softcopies many be
downloaded at: http://DFW.simnet.org (Dallas/Ft Worth Chapter site).
[Note: The seven evaluation categories are listed on the next page]
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2010 DFW IT EXECUTIVE OF THE YEAR AWARD
Mr./Mrs./Ms.________________________ is hereby nominated for the 2010 DFW IT Executive of the Year.
1. Strengthen the competitive position of their organization’s product or service via the creative use of
technology. (30 points)
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
2. Create an entirely new information-based product or service. (10 points)
___________________________________________________________________________
___________________________________________________________________________
3. Significantly transform the way their organization conducts business as demonstrated by its commitment to
improved customer service or vendor relationships. (20 points)
___________________________________________________________________________
___________________________________________________________________________
4. Increase the efficiency and effectiveness of their organization. (10 points)
___________________________________________________________________________
___________________________________________________________________________
5. Improve their organizations capacity to manage quality through improved measurements, more responsive
corrective actions and more effective preventative processes. (10 points)
___________________________________________________________________________
___________________________________________________________________________
6. Elevate information technology to a proactive role as part of their firm’s strategy, rather than as a passive
response to necessity. (10 points)
___________________________________________________________________________
___________________________________________________________________________
7. Demonstrate leadership in the IT community in the DFW area. (10 points)
___________________________________________________________________________
___________________________________________________________________________
8. Additional comments: _____________________________________________________________________
_______________________________________________________________________________________
Mail, Email or Fax this information by December 31, 2010 to:
Dr. Jack D. Becker (940-565-3113 or 3110)
University of North Texas
PO Box 305249
Business Computer Information Systems (BCIS) Department
Denton, TX 76203-5249
Email: becker@unt.edu
FAX : 940-565-4935
9/14/2012 Page 4
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