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2019 VACB Rising Star Award Nomination Form
Nominations accepted July 1 - August 16, 2019
*
Indicates required field
Nominee's Name
*
First
Last
Nominee's Age
*
Nominee's Bank Name
*
Nominee's Bank Address
*
Line 1
Line 2
City
State
Zip Code
Country
VACB Member
*
YES
NO
Nominator's Name
*
First
Last
Nominator's Email
*
Nominator's Phone Number
*
Relationship to Nominee
*
Why should the community banker you are nominating be considered for a Rising Star Award?
*
Please provide specifics regarding the nominee's community involvement and volunteerism.
*
Please provide experiential insights on the nominee's overall leadership.
*
Please describe in detail an innovative program or initiative the nominee led for the bank.
*
Is there someone in the community that we should talk to who would add additional value to your nomination?
*
YES
NO
If YES, please provide their name, direct phone and email below.
*
First
Last
Email
*
Phone Number
*
Additional Name
*
First
Last
Email
*
Phone Number
*
Submit