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Lifetime Achievement Award
*
Name of Individual You Wish to Nominate
*
The Nominee's Employer
*
Your Name:
Person completing the nomination form
*
Are you a current member of PSHRA NC (Formerly NC IMPA-HR)
Yes
No
Recognition Category
(Select one or more)
Advancement of the Profession
Leadership
Service
Time Requirement
In no more than five (5) pages of double-spaced typing, please describe and clearly detail the accomplishments and characteristics of the nominee that you believe justify consideration for the Lifetime Achievement Award.
PDF preferred
I certify that this information is true and honest to the best of my knowledge.
Enter your first and last name and today's date (mm/dd/yyyy)
Daytime Phone Number
Enter your preferred contact number
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