ER Awards - Emerging Leader Award

Name of Nominee: *

Title: *

Institution: *

Is the nominee new to CUPA-HR? * YesNo

Did the nominee assume a new leadership role in CUPA-HR? If so, please list and explain the leadership role:

Explain how the nominee's actions reflected exemplary leadership performance impacting innovation, commitment, inspiration and/or partnership:

Was their leadership received in a positive way? Please explain:

Any additional information to support your nomination:

Submitted by:

Name: *

Address: *

Address continued:

City: *

State: *

Zip: *

Phone: *

E-mail: *