2024 Young Leadership Award Nomination Form
Please fill out this form to nominate a deserving young leader in our Jewish community.
Name of Nominee
*
First Name
Last Name
Nominee's Email
*
example@example.com
Nominee's Phone Number
*
Please enter a valid phone number.
Your Name
*
First Name
Last Name
Your Email
*
example@example.com
Your Phone Number
*
Please enter a valid phone number.
What is your relationship to the nominee?
*
Please provide a short statement indicting the reasons for this nomination?
*
Confirmation
*
I confirm that the information provided is accurate and true.
Submit
Should be Empty: