2023 Pierre Jay Award Submission Form

Pierre Jay Award Nomination Form

Nominee's Name *

Nominee's Organization *

Nominee's City & State *

Nominee's Email *

Nominee's Phone *

If available, please provide a link to the Nominee’s professional bio:

A. List or describe the contributions this nominee has made that have benefited the state credit union system. *

B. Describe the nomineeʼs service, leadership, and commitment to the state credit union system. *

C. Please provide any additional information you believe the Awards Committee should consider in evaluating the nominee. *

Your name *

Your organization (must be a NASCUS member) *

Your city and state *

Your email address *

Your phone number *

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