THE JEFF SILVER AWARD Recognizing Achievement in the Collision Industry

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THE JEFF SILVER AWARD Recognizing Achievement in the Collision Industry Platinum Individual Nomination Form Purpose Jeff Silver saw the need for industry recognition as one of the forefathers of the I-CAR Gold Class Professionals and Platinum Individual TM recognition programs. A former I-CAR CEO, he continues his involvement in the industry today as a Platinum Individual and as owner with wife Jeanne of Butterfield Bodyworks CARSTAR in Mundelein, Illinois. The Jeff Silver award honors him and others like him who embodies a true passion for training and professional growth. Eligibility This award will be bestowed to a select individual that meets the following requirements: Holds a long term (defined as at least five consecutive years) I-CAR Platinum Individual designation Trains beyond the minimum requirement to maintain the designation Available for a member of any industry segment that meets criteria The following is not required of a nominee but can be used in the evaluation process: Actively promotes the Platinum Individual designation, training, and a positive image of the collision industry (locally or on a broader scale) Active in a local volunteer committee, ISAC, or NFAC, etc. Active in inter-industry in other organizations or associations Active in local community Please note all current I-CAR employees are not eligible to earn this award, with the exception of I-CAR instructors. Nominating Procedure Complete this form and submit all nominations via email to I-CAR_Conference@i-car.com. All nominations must be received by July 31, 2018. Judging I-CAR staff, I-CAR Executive Committee, I-CAR International Board of Directors, and/or other collision industry representatives will select the recipient. Presentation of Award The award will be presented during 2018 SEMA Week in Las Vegas, on Wednesday, October 31, at the Collision Industry Red Carpet Breakfast, 7:30-9am in Ballrooms D-E, at the Westgate Las Vegas Resort and Casino. 1

Contact Information If nominating a Platinum Individual, complete both your contact information and the Nominee s below. If self-nominating, only complete the following Nominee contact information. Name: Company: E-mail: Phone: Contact Information for Nominee q Self-nomination. Name: Company: Street Address: City/State/Zip Code: E-mail: Phone: Nominee Information I. Training & Training Involvement Does the nominee hold the Platinum Individual designation? Has the nominee held the Platinum Individual designation for at least five consecutive years? What is the nominee s Platinum join date? Does the nominee actively promote the designation? If yes, please provide examples/description of promotion: 2

I. Training & Training Involvement (continued) Does the nominee actively hold other industry designation(s)? If yes, please list designation(s): Does the nominee actively support I-CAR locally, regionally, and nationally? Ex. local volunteer committee, ISAC, NFAC, etc? If yes, please list examples/description of involvement: II. Careers & Education Is the nominee involved in promoting career opportunities in the collision industry? If yes, please provide examples/description of involvement: 3

III. Association Involvement Is the nominee involved in a state, local, regional, national, or international trade association? If yes, please state association membership(s) and degree of involvement: IV. Community Service Is the nominee involved in community service? If yes, please provide examples/description of involvement, including if the involvement is local or national: 4

V. Other Please state any other information you would like noted about the nominee. Thank you for your nomination submission. Please email to: I-CAR_Conference@i-car.com on or before July 31, 2018. 5