YMCA Professional Network | Chapter 41

Question Title

* 1. YMCA Association

Question Title

* 2. Staff name filling out this form:

Question Title

* 3. Does the CEO know of and approve this nominee?

Question Title

* 4. CEO email

Question Title

* 5. First name of nominee

Question Title

* 6. Last name of nominee

Question Title

* 7. Department or Job Title of Nominee (when in their role)

Question Title

* 8. Approximate years of employment in the Y movement

For questions 5-11, you may instead upload a document at the bottom of this form that should clearly address the criteria of contributions, accomplishments, and innovation

Question Title

* 9. CONTRIBUTIONS: Describe how this individual contributed to their field in one or more of the following manners:
  • Has made a significant contribution to the development of their field that benefited a local YMCA and/or overall YMCA movement.
  • Demonstrated the highest standards of leadership in the YMCA movement
  • Is respected and recognized as a role model to peers in their field

Question Title

* 10. ACCOMPLISHMENTS: Share any accomplishments the individual has achieved over the course of at least 10 years:

Question Title

* 11. INNOVATION: List any programs, processes, or projects that this individual has designed or implemented that have been replicated within their association or other YMCAs.

Question Title

* 12. Please share any further information you feel relevant for the YPN Board to consider.

Question Title

* 13. Optional: Upload a file in lieu of answering questions 5-11 in the boxes above.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

T