2019 HR Hero Nomination Form

Nominee:

Nominee’s mailing address:

Nominee’s email address:

Briefly describe the major impact and/or life time achievement that this individual has made within the Human Resources profession:

List the names of 3 people that could provide us additional background information:

Nominee’s employer or most recent employer:

Nominee’s manager or co-worker name and contact information:

Date:

Nominator Name:

Organization Name:

(if applicable)

Email Address:

Phone:

How do you know the Nominee?

How long have you known the Nominee?