2022 Pierre Jay Nomination Form

Nominee's Name *

Nominee's Organization *

Nominee's City & State *

Nominee's Email *

Nominee's Phone *

If available, please provide link to 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. *

Nominator’s name *

Nominator’s organization (must be a NASCUS member) *

Nominator’s city and state *

Nominator’s email address *

Nominator’s phone number *