Kathy Franz – Excellence in HR Leadership Award

On-Line Nomination Form

Submit nomination by August 13, 2010
Nominee Name *
Nominee Title *
Nominee Organization *
Nominee Phone *
Nominee Fax *
Nominee Address *
Nominee City, State, Zip *
Nominee E-Mail *
Nominee CEO *
Nominee Immediate Supervisor *
Organization Address (Only if Different from above)
Nominator Name *
Nominator Title *
Nominator Organization *
Nominator Phone *
Nominator Fax *
Nominator Address *
Nominator City, State, Zip *
E-mail Address: *
Nominator Signature (Type in Name) *
Date *
Attach a File:
* Required

Please complete all the fields below and attach a one page document that briefly describes the nominee’s involvement in a leadership role within their organization and or within their community OR significant nominee involvement in Chapter activities and/or special projects. The narrative must describe in detail the nominee’s contribution, how it was identified, process implemented, and overall outcome of the nominee’s contribution.