Kathy Franz � Excellence in HR Leadership Award

On-Line Nomination Form

Submit nomination by August 31, 2026

Nominee Name *

Nominee Title *

Nominee Organization *

Nominee Phone *

Nominee Fax *

Nominee Address *

Nominee City, State, Zip *

Nominee E-Mail *

Nominee CEO *

Nominee Immediate Supervisor *

Organization Address (Only if Different from above)

Nominator Name *

Nominator Title *

Nominator Organization *

Attach a File:

Nominator Phone *

Nominator Fax *

Nominator Address *

Nominator City, State, Zip *

Nominator Signature (Type in Name) *

E-mail Address: *

Date *

* Required

Please complete all the fields below and attach a one page document that briefly describes the nominee�s involvement in a leadership role within their organization and or within their community OR significant nominee involvement in Chapter activities and/or special projects. The narrative must describe in detail the nominee�s contribution, how it was identified, process implemented, and overall outcome of the nominee�s contribution.