Credit Union Executive of the Year Nomination Form - CrossState Credit Union Association

Nominee Information

Nominee Title(Required)

Nominee Email(Required)

Nominee Phone(Required)

Nominee Credit Union Experience

Years of Credit Union Service

Past and/or Present Credit Union Positions (Volunteer or Professional)

Why is the Nominee deserving of the William W. Pratt Executive of the Year Award?(Required)

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Image Upload

Max. file size: 300 MB.

Please upload any photos of the nominee that reflect their dedication and commitment to the credit union. Examples include: full board photos, groundbreaking ceremonies, volunteering, etc.

Image Upload

Drop files here or

Max. file size: 300 MB.

Please upload any photos of the nominee that reflect their dedication and commitment to the credit union. Examples include: full board photos, groundbreaking ceremonies, volunteering, etc.

Nominating Individual Information

Nominating Individual Name(Required)

Nominating Credit Union Name(Required)

Nominating Individual Email(Required)

Nominating Individual's Phone Number(Required)