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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




9/14/2012                                                                                                       Page 2
               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]




9/14/2012                                                                                                  Page 3
               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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