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
List previous company where Nominee was employed:
Years Employed
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
   - denotes required fields