John J. Buckley
Lifetime Achievement Award
Application Form

Award Description

The John J. Buckley Lifetime Achievement Award honors any individual in the MROP channel for their longstanding service in the industrial supply industry. Qualified candidates have made significant contributions to the success of the industry and/or their community, and have earned the respect of their associates and peers. Deadline: January 31, 2027.

Eligibility Requirements

Any individual from a member company (Distributor, Manufacturer, or Industrial Manufacturer’s Representative) may submit a nomination for this award.

Select Criteria

Member companies wishing to nominate an employee for the John J. Buckley Lifetime Achievement Award must complete the award application and submit a letter outlining the candidate’s accomplishments. In the letter, please address the following criteria:
The nominee should demonstrate a personal passion, contributed to and/or made a positive impact on their company, the industry, and their communities
Recognition of achievements, i.e., awards, citations, etc. by other organizations and companies.

Nominee Information
First Name*
Last Name*
Company*
Street Address*
Address Line 2
City
State
Zip
Email*
Individual Responsible for Submission
Name*
Title*
Street Address*
Address Line 2
City*
State
Zip
Email*
Description of candidate's accomplishments
Description of candidate's accomplishments
Supporting Documents
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Max. file size: 20 MB, Max. files: 3.
Applicant Signature
By executing this official entry form, company authorizes the Industrial Supply Association (ISA) to publish or reproduce, in any or all media, any portion or all the materials submitted by company with this entry form, for purposes of promoting or publicizing the John J. Buckley Lifetime Achievement Award.
Applicant Name*
Applicant Signature*
Date

John J. Buckley Lifetime Achievement Award Application Form

Award Description

Eligibility Requirements

Select Criteria

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John J. Buckley
Lifetime Achievement Award
Application Form