JCI USA 2025 Awards Submission Certification Form JCI USA 2025 Awards Submission Certification FormPlease complete this form no later than 11:59PM HST on December 15, 2025, for consideration for JCI USA Awards. If there is no state-level organization with a presiding State President, then the JCI USA National Vice President assigned to that state will be the certifying official for all award entries.JCI USA State Organization(Required)2025 State President/NVP Name(Required) First Last 2025 State President/NVP Email(Required) Local Organization Recognition- SPE'sPlease list any projects that you may submit in each category. Include the Project and Chapter Name for each. All winners in each category may be eligible for submission to the JCI Conference of Americas competition in 2026.Inter-Organization Collaboration Add Removeup to 3 per stateLocal Community Empowerment Add Removeup to 3 per stateLocal Global Goals Add Removeup to 3 per stateLocal Personal Skills Development Add Removeup to 3 per stateLocal Growth & Development Add Removeup to 3 per stateLong-Term Local Community Empowerment Add Removeup to 3 per stateBest Local Peace Project Add Removeup to 3 per stateLocal Economic Development Add Removeup to 3 per stateLocal Member RecognitionPlease use the following to certify all eligible local members being nominated for recognition. Include the nominee's name and chapter. Outstanding Youth Spotlight Add Removeup to 5 per stateBrownfield Memorial Award- New Local Member Add Removeup to 5 per stateJohn H. Armbruster Memorial Award- Local Member Add Removeup to 5 per stateMungenast Memorial Award- Family Add Removeup to 5 per stateHeidi Juttner Memorial Award- Local Officer Add Removeup to 5 per stateCharles Kulp Memorial Award- Local Chapter President Add Removeup to 3 per stateEmpowerment Award Add Removeup to 5 per stateLocal Organization Annual ProgrammingPlease use the following to certify all eligible local chapters being nominated for outstanding programming through a comprehensive annual report.Outstanding New Local Chapter- Whetsell Add Removeup to 2 per stateOutstanding Traditional Chapter- Howard Add Removeup to 5 per stateVisionary Award Add Removeup to 3 per stateState Organization Programming and Individual RecognitionPlease use the following to certify all eligible projects/programming that are eligible for consideration by JCI USA judges.Dennis Hamilton- State Flagship Program Add Removeup to 2 per stateSteve Little- State Growth & Development Program Add Removeup to 2 per stateOutstanding State Officer- Trafton Add Removeup to 2 per stateOutstanding State Membership Director Add Removeup to 2 per stateOutstanding State Auxiliary Officer / Committee Member Add Removeup to 2 per statePlease answer the following questions regarding other awards eligible for submission:Will your state be submitting an annual report for consideration for the George O. Wilson Memorial Award- Best State Organization in Nation Yes No What was your state's January 1, 2025 membership?What was your state's December 31, 2025 membership?Will you be submitting your State President for the Allen Whitfield Memorial Award- Outstanding State President Yes No Will you be submitting an NVP for the Don Cavelli Memorial Award- Outstanding NVP? Yes No Will your state be submitting a Special Partner for the Rob Ray Memorial Award? Yes No Top Membership RecruitersPlease list individuals from your state who recruited at least 15, 25, or 50 members between January 1, 2025, and December 31, 2025. List the Member's Name, Chapter, and # recruited.Recruited at Least 15 Add RemoveRecruited at Least 25 Add RemoveRecruited at least 50 Add RemoveChapter Double/TriplePlease list any chapters from your state who grew their membership by double or triple between January 1, 2025, and December 31, 2025. List Chapter Name, January 1 membership, December 31 membership Add RemoveJudgesThe following are our state-approved judges. All information MUST be provided.List Judges' Name, Email, Phone Number, and Home Chapter Add RemoveAlternate State Approved Judges: Name, Email, Phone Number, and Home Chapter Add RemoveAffirmationThe above-listed members, projects/programs, and chapters have been judged to be the best in my state during the 2025 awards year. Any of the above-mentioned individuals, projects/programs and/or chapters that complete the submissions, through the approved method, to the JCI USA Awards Committee and Executive Committee may be considered for recognition during the JCI USA Year-End Convention in 2026. Signature of the 2025 State President/Assigned JCI USA NVP(Required)
