Credit Union Executive of the Year Nomination Form

Please note that current CrossState Credit Union Association Board Members are not eligible awardees for any of CrossState’s awards or scholarships.

Nominee Information

Nominee Name(Required)
Address

Nominee Credit Union Experience

I have reviewed the Judging Criteria and understand that any information I provide will be used in determining the awardee, following the provided rubric.(Required)
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Max. file size: 300 MB.
Please upload any photos of the nominee that reflect their dedication and commitment to the credit union. Examples include: full board photos, groundbreaking ceremonies, volunteering, etc.
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Max. file size: 300 MB.
    Please upload any additional explanations, information, documents, or photos of the nominee that reflect their dedication and commitment to the credit union.

    Nominating Individual Information