2026 NELAS Nomination Form

Please complete the information below for young professionals (ages 21-40) you'd like to nominate for the 2026 NELAS. Once completed, the nominee will receive an email to fill out the application form.

Nominations are anonymous; therefore, the person you nominate will not be able to see who nominated them.

Please note: This form serves as a nomination. All nominees must fill out the NELAS application that will be sent to their email after they have been nominated. Nominees must fill out an application in order to be considered for a NELAS award. Each individual only needs to be nominated once.

Your Name*

First NameLast Name

Your Employer*

Your Email*

example@example.com

Phone Number (optional)

Area CodePhone Number

Nominee Information:

Nominee Name*

First NameLast Name

Phone Number (optional)

Area CodePhone Number

Nominee Employer*

Nominee Email*

example@example.com