2022 Ry Perry Nomination Form

Nominee:

Nominee’s mailing address:

Nominee’s email address:

Briefly describe the major impact and/or lifetime achievement that this individual has made within the Human Resources profession: both through their employment and for the Human Resource community in general.

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:

Please describe any volunteer community activities or organizations that the nominee has been or is currently involved with.

Please list any state HR chapter or other HR associations the nominee participates in including any offices or committee positions.

Date:

Nominator Name:

Organization Name:

(if applicable)

Email Address:

Phone:

How do you know the Nominee?

How long have you known the Nominee?