Nomination Form

Please submit all nominations by January 31, 2019.

This award was created to recognize and honor members of our community who exhibit the core values embraced by Lakeview Bank. Through their personal and professional lives these people demonstrate integrity, honesty, respect, service, attitude and professionalism.

2019 High School Senior (2)

Alyssa Ettl Legacy Award

$1,500 scholarship for a Lakeville North or Lakeville South High School Senior

2019 High School Senior

$1,500 scholarship for any area High School Senior

Lakeville students are also eligible for this award.

Business Owner or Manager

$1,500 contribution to a charitable organization of their choice.

Citizen/Volunteer

$1,500 contribution to a charitable organization of their choice.

Do you know someone who would be a good candidate for this year’s Legacy Award? Fill out the form below!

Nominee Award Category Please check one

High School Senior(2 available)
Business Owner or Manager
Citizen/Volunteer

Nominee Information

Name Telephone Address City State Zip Code Employer/School Position Business/School Address

Why are you nominating this person?

Nominator Information

Name Telephone Address City State Zip Code How long have you known the nominee? How do you know the nominee?

Thank you for submitting a nomination for our Legacy Award. The individual(s) being nominated will be contacted by Lakeview Bank starting January 2019. An application is required in order to be eligible for the award/scholarship.