Nomination Form Check One Professional of the Year Distinguished Service Award Brother’s Keeper Award
Volunteer of the Year Credit Union of the Year
Name of Nominated Individual or Organization (Must Be LSCU Member Credit Union) _________________________________________________________________________________________________________ Credit Union: ______________________________________________________________________________________________ Address: _________________________________________________________________________________________________ City, State, Zip: ____________________________________________________________________________________________ Telephone: (______)_____________________ Fax: (______)_____________________ Email: ____________________________ Position: _________________________________________________________________________________________________ Name of Individual Submitting Nomination _________________________________________________________________________________________________________ Credit Union: ______________________________________________________________________________________________ Address: _________________________________________________________________________________________________ City, State, Zip: ____________________________________________________________________________________________ Telephone: (______)_____________________ Fax: (______)_____________________ Email: ____________________________ Instructions for submitting nomination materials are outlined in the “Entry Submission Information” section of this brochure. Nomination materials must be received by the LSCU by close of business on Friday, April 15, 2011. Entry submission items should be sent to: LSCU Awards, c/o Amy Jowers, 3773 Commonwealth Boulevard, Tallahassee FL 32303. Submissions may also be faxed to 850.558.1021 or emailed to amy.jowers@lscu.coop. Contact Amy Jowers (amy.jowers@lscu.coop) at 866.231.0545 x1020 with questions or visit www.lscu.coop.