Applications being accepted for
independent agents, brokers, and their firms
Purpose: To recognize and present an award to an independent insurance broker, agent or agency that has demonstrated extraordinary community service within his, her or their local, regional or national community. To present the winning philanthropic organization designated by the agency with a check in the amount of $5,000 to help further its special cause(s).
Criteria: Nominees will be judged on their overall contribution (funds raised, people helped, volunteerism, etc.) to their community service project and/or initiative, and positive impact (both short-term and long-term) that their efforts have made in their community.
Nomination period: Nominations will be accepted at the offices of Rough Notes magazine by U.S. mail, overnight delivery or hand delivery up to and including December 31, 2026. No nomination forms will be accepted after December 31. Please note that no facsimiles or emails will be accepted.
Conditions:
- Nominators must complete the nomination form in its entirety and
provide all supporting documentation. - All nomination forms and supporting documentation must be received no later than December 31, 2026.
- All nomination forms must include a supporting letter from the philanthropic organization verifying and documenting the insurance broker, agent, or agency involvement.
- No facsimiles or emails will be accepted.
- All nomination forms and supporting documentation become the
exclusive property of The Rough Notes Company. Further, the nomination form and supporting documentation may be used at the sole discretion of Rough Notes magazine to publicize the award and award recipient, and to promote the Community Service Award program. - Incomplete nomination forms or nomination forms without supporting documents will not be considered.
- Nominators may nominate themselves or their agency.
Selection: Designated individuals from The Rough Notes Company and selected others will review all nomination forms and supporting documentation and select a winner. The winner will be honored at Rough Notes magazine’s Agency of the Year awards dinner in Indianapolis.
Awards:
- The philanthropic organization will receive a check for $5,000 to be used to further its endeavors.
- The winning broker, agent or agency will be presented with a sculptured engraved eagle.
- Rough Notes magazine will publish an article to publicize the community service project and award winner.
The awards dinner will be held in Indianapolis, Indiana, in the spring of 2027.
