State Form 54222 "Governor's Award Application" - Indiana

What Is State Form 54222?

This is a legal form that was released by the Indiana Archives and Records Administration - a government authority operating within Indiana. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on March 1, 2010;
  • The latest edition provided by the Indiana Archives and Records Administration;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of State Form 54222 by clicking the link below or browse more documents and templates provided by the Indiana Archives and Records Administration.

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Download State Form 54222 "Governor's Award Application" - Indiana

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INDIANA STATE HISTORIC RECORDS ADVISORY BOARD
402 West Washington Street, Room W472
GOVERNOR’S AWARD APPLICATION
Indianapolis, IN 46204
State Form 54222 (R2 / 3-10)
Telephone: (317) 232-3380
Fax: (317) 233-1713
E-mail: shrab@icpr.in.gov
Website: shrab.IN.gov
The Indiana Governor's Award was established in 2006 by the Indiana State Historic Records Advisory Board (SHRAB) to recognize successes
in the field of historic records. Recipients are chosen by the SHRAB from the submitted nominations. Candidates for the award should have
made remarkable contributions to Indiana historic records, the archival profession, or a related field during their career. Significant contributions
may include extensive or superior volunteer work in an elected or appointed role; unusually important innovation, leadership, or crisis management;
and notable success in expanding the visibility and/or support of Indiana's Historic Records. Outstanding contributions to the archival community
may include work or activities that have dramatically improved the preservation of or accessibility to historically valuable documents or records,
or that have resulted in a significantly better public appreciation of archival work and activities. Nominations are due by November 15.
Nominated by:
Date of nomination (month, day, year)
E-mail address
Telephone number
(
)
Name of nominee
Address of nominee (number and street, city, state, and, ZIP code)
E-mail address of nominee
Telephone number of nominee
(
)
Employer of nominee
Please detail how the nominee is deserving of the Governor’s Award. Please limit your response to five hundred (500) words and attach additional paper, if necessary.
Reset Form
INDIANA STATE HISTORIC RECORDS ADVISORY BOARD
402 West Washington Street, Room W472
GOVERNOR’S AWARD APPLICATION
Indianapolis, IN 46204
State Form 54222 (R2 / 3-10)
Telephone: (317) 232-3380
Fax: (317) 233-1713
E-mail: shrab@icpr.in.gov
Website: shrab.IN.gov
The Indiana Governor's Award was established in 2006 by the Indiana State Historic Records Advisory Board (SHRAB) to recognize successes
in the field of historic records. Recipients are chosen by the SHRAB from the submitted nominations. Candidates for the award should have
made remarkable contributions to Indiana historic records, the archival profession, or a related field during their career. Significant contributions
may include extensive or superior volunteer work in an elected or appointed role; unusually important innovation, leadership, or crisis management;
and notable success in expanding the visibility and/or support of Indiana's Historic Records. Outstanding contributions to the archival community
may include work or activities that have dramatically improved the preservation of or accessibility to historically valuable documents or records,
or that have resulted in a significantly better public appreciation of archival work and activities. Nominations are due by November 15.
Nominated by:
Date of nomination (month, day, year)
E-mail address
Telephone number
(
)
Name of nominee
Address of nominee (number and street, city, state, and, ZIP code)
E-mail address of nominee
Telephone number of nominee
(
)
Employer of nominee
Please detail how the nominee is deserving of the Governor’s Award. Please limit your response to five hundred (500) words and attach additional paper, if necessary.