2023 Celebrating Success Nomination Form
The Celebrating Success event by Junior Achievement is seeking nominations for individuals in Erie County who have made or are poised to make significant contributions to the region's business, education, social, and cultural assets. Nomination deadline is September 14th, with the awardees to be announced on September 28th. The awardees must be present at the Erie Art Museum on November 9th to receive their award, with the ceremony starting at 5:00 p.m. followed by a cocktail reception.
Name
First Name
Last Name
Name of Nominee's Company/Employer
Nominee Email
example@example.com
Nominee Phone Number
Please enter a valid phone number.
Nominee Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
For the following questions, please be as detailed as possible. Junior Achievement may use quotes from your nomination if the individual is selected.
Please list the age or date of birth of the nominee:
How does the nominee demonstrate leadership?
How does the nominee support their community?
How does the nominee show commitment to mentoring and advocating for youth?
Are there additional comments and recommendations you would like to add on the nominee's behalf?
Name of Nominator
First Name
Last Name
Nominator Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Nominator Email
example@example.com
Nominator Phone Number
Please enter a valid phone number.
Contact Events and Partnerships Coordinator, Kelsie Hutsko, for any questions at khutsko@jawesternpa.org
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