Nominator Name *

What is your name

Nominator Email *

What is your email?

Nominee Name *

Please list the name of the person you are nominating

Nominee Agency *

What agency does the nominee currently work for?

Is the nominee a member of IPRA? *

What certifications does this person have? *

Is the nominee currently on the IPRA board of directors? *

Enter required value Yes No

Has the nominee worked at least 8 years as a full-time professional? *

Has this person served IPRA in the past or currently *

Enter required value Yes No

Why are you nominating this person? *

In 300 words or less explain the nominee's significant achievement for his/her agency or community.