ER Awards - Member of the Year Award

Name of Nominee: *

Title: *

Institution: *

Has the nominee presented at CUPA-HR events such as: local chapter meetings, Eastern Region conferences and/or national programs? If so, please list:

Has the nominee served on any CUPA-HR committees (local chapter, regional and/or national)? If so, please list:

Has the nominee participated in local chapter, regional and/or national leadership? If so, please list:

Has the nominee contributed to CUPA-HR member development? If so, please explain:

Has the member written articles in the CUPA-HR Journal and/or for other CUPA-HR communications? If so, please list:

Has the nominee participated in the CUPA-HR Association Leadership Program (ALP)? If so, when and to what extent?

Has the nominee participated in other CUPA-HR activities that are not listed above? If so, please list:

Any additional information to support your nomination:

Submitted by:

Name: *

Address: *

Address continued:

City: *

State: *

Zip: *

Phone: *

E-mail: *