CPYB Vincent J. Petrella Chairman's Award



Complete and submit this form for each nominee. Please note: All applicable fields need to be answered.
Nominee's First & Last Name
Nominee's Phone Number
Nominee's Email
Company Where Nominee is Currently Employed
Title

List previous company where Nominee was employed:
Company
Years Employed
Title/Position

Describe any Industry Honors or Recognition Received by the Nominee


Describe any Industry Innovations or Contributions Made by the Nominee


Describe any Community Service, Government Advocacy or Related Activities Engaged in by the Nominee


Describe Nominee's Current or Past involvement with CPYB Committees and/or Certified Advisory Committee


Why does this Nominee Deserve to Earn the CPYB Chairman's Award?


This Nomination Form is submitted by:

First & Last Name
Phone Number
Email
Company

- denotes required fields

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