Past President's Award

* Name of Individual you Wish to Nominate

* The Nominee's Former Employer:

* Nominee's Date of Retirement:

The above Nominee must meet both of the following criteria:

Served a full term as PSHRA NC (formerly NC IMPA-HR) President, unless there was an unforeseen circumstance that prevented their serving full term: AND
Is at least one (1) term removed from office

In no more than two (2) pages of double-spaced typing, please describe in detail, any accomplishments and/or outstanding characteristics of the nominee that you believe deserved consideration for the Past President's Award.

Attach supplemental materials

* Name of Individual making nomination First and Last Name

* Today's Date mm/dd/yyyy

* Your Contact Number

* Your Email:

By submitting this form, I affirm that the information above is true to the best of my knowledge. I further attest that I am a current member of PSHRA NC (formerly NC IPMA-HR).

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