YPEK | Awards Nomination Form
































The Young Professionals of East Kentucky (YPEK) is accepting nominations for our second annual Awards Dinner to be held on Friday, November 18th, 2011. Nominations are being accepted for the following awards: Civic Leadership, Entrepreneurship, and Young Professional of the Year.


Nominees should be between the ages of 21-40, and be upstanding citizens in their community and have shown a commitment to benefiting the region. Nominees will be judged by the YPEK Awards Committee on many facets including, but not limited to, business development, community contribution, and innovative achievement.


To be eligible, nominees must reside in or have their business or organization located within the following 32 county YPEK service region: Bath, Bell, Breathitt, Clay, Floyd, Elliott, Estill, Harlan, Jackson, Johnson, Knott, Knox, Laurel, Lawrence, Lee, Leslie, Letcher, Magoffin, Martin, McCreary, Menifee, Morgan, Owsley, Perry, Pike, Powell, Pulaski, Rockcastle, Rowan, Wayne, Whitley, and Wolfe.


All nominations must be submitted online. The deadline for submission is Saturday, October 29, 2011. If you have any questions, please contact the YPEK Awards Committee by emailing info@ypek.org or by calling 606-930-9141.



AWARD CATEGORY:





YOUR INFORMATION:

First Name Last Name


Email Phone


Address

City State Zip


Position Relation to Nominee




NOMINEE INFORMATION:

First Name Last Name


Email Phone


Address

City State Zip


Title Employer Age


Why is this nominee most deserving of the above-selected award category?


Please provide the nominee's commitment to East Kentucky.


How has the nominee "stood out" over the past year among their peers in regards to their business achievement, civic involvement (community and faith-based organizations, boards and commissions, volunteer activities, etc.), and their innovative approach to success?


Please provide any additional information you deem necessary or important in assessing this nominee. This may include, educational attainment, previous awards, significant events, etc.