Bronze Level Requirements 
2013 Nomination Form
(PCC should self-nominate)

Qualifying Period:  July 1, 2012 – June 30, 2013

Due Date District Manager’s Approved Nominations to National PCC Team:  By July 5, 2013
Note it is your responsibility to get your nomination approved by your DM to meet the above deadline for submission. 

Name of PCC:
Name of Person Completing this Form:
Company Name:
Phone Number:
Email Address:
Date Submitted:

To complete this form, please insert an “x” in the Achieved column (as appropriate).  Numbering aligns with requirements listed on page 3 of the Premier PCC Program booklet.

Important Note This nomination form must be approved and signed by your respective District Manager (DM).  Approval includes a review and verification of each requirement by the DM. If the DM requests supporting documentation to verify any requirement, it is the sole responsibility of the PCC to comply.  After the DM has signed and dated the bottom of this form, it must be emailed to the National PCC Team at PCC@usps.gov no later than July 5, 2013.  Once your nomination has been approved and submitted to the National PCC team via email, please complete the award certification form on the internal PCC blue share site at: http://ca.blueshare.usps.gov/sites/igo/PCC/default.aspx 

Administrative Requirement	Achieved	
1.  Establish a PCC Executive Board that consists of at least a Postal and Industry Co-Chair, Vice Chair, Secretary, and Treasurer.		
2.  PCC events (meetings, trainings, vendor shows) must be listed on the National PCC Website (Minimum of 4).		
Meeting / Event Requirement		
3.  Hold a minimum of four (4) executive board meetings per year.  One may be via telecom / webinar.  		
4.  Conduct at least two (2) general membership meetings per year.		
5.  Participate in National PCC week by hosting an individual or a joint event that enables PCC members to view the Postmaster General’s message. 		
6.  Active involvement by the Area Vice President (AVP) of Operations, Postal District Manager (DM) or Plant Manager in PCC activities / events.  As information, participation by an AVP, DM or Plant Manager via phone or Webinar at PCC meetings (Board or general) is considered to be "active involvement."		
Education Requirement		
7.  Conduct at least two (2) educational workshops per year.		
Communication Requirement		
8.  Communicate quarterly with members via U.S. Postal Service mail.		

District Manager Signature______________________________       Date:  ________________________