Please submit your typed nomination utilizing the following format
ON TOP OF ALL ADDITIONAL PAGES - CLEARLY STATE
Nominee’s Name -
Nominator’s Name -
Nominator’s Phone Number -
Prompt:
Why are you nominating this individual? (500 words or less)
Email in PDF format to
[email protected]
or
Mail a copy to
UNA
504 Donnelly Street Duryea PA 18642
All submissions must be received by
5:00 p.m. May 23rd, 2025
Finalists will be notified by email