2020 Professional Leadership IMPACT Award Nomination

Professional Leadership IMPACT Award Nomination Form

The PLA Professional Leadership IMPACT Award is presented to the person who best exemplifies the principles of Professional Leadership through the impact they make in their daily practice of leadership. This award is for leaders who are making an impact in their organization, an impact in their industry and an impact in their community. Please complete the nomination form below before June 30, 2020 for consideration for this year's award. Recipients will be announced October 1, 2020.

Multiple recipients may be recognized by industry with one recipient per industry. All decisions of the award panel are final.

Thank you for participating. After you've completed this page click on the 'Next' button at the bottom to continue.

Your Name (required):
Your Organization Name (required):
Your Title (required):
Your Email Address (required):
Your Relationship to Nominee (if any):
All questions are required. After you've completed this page click on the 'Next' button at the bottom to continue.
1. Name of Nominee:
2. Nominee's Organization:
3. Nominee's City & State:
4. Nominee's Email Address (if available):
5. Nominee's Industry
6. Other Industry (if not listed above):
All questions are required. After you've completed this page click on the 'Submit' button at the bottom to finish the nomination.
7. Please describe how the nominee is making an impact in their organization. Provide examples by including the URL for any articles or videos on the nominee. (Please expand the response box as needed)
8. Please describe how the nominee is making an impact in their industry. Provide examples by including the URL for any articles or videos on the nominee. (Please expand the response box as needed)
9. Please describe how the nominee is making an impact in their community. Provide examples by including the URL for any articles or videos on the nominee. (Please expand the response box as needed)