NEBRASKA SOCIETY OF
Certified Public Accountants
SERVING NEBRASKA AND ITS CPAS SINCE 1928
AWARD NOMINATION FORM

I nominate the following Nebraska Society member as a candidate for:
The Public Service Award
The Distinguished Service to the Profession Award
The Outstanding Accounting Educator Award
The Outstanding CPA in Business and Industry Award
 Nominee
Name:
Address:
City:
State:
Zip:
Phone Number:
 Submitted By
Name:
Address:
City:
State:
Zip:
Phone Number:
Email:

Deadline for Nominations is October 31.
Thank you for your nomination. You will be contacted in the near future regarding additional information we may need regarding this nomination.

Please contact Dan Vodvarka or Kelly Ebert if you have any questions.

Enter numbers shown:
635 S. 14TH ST. SUITE 330
LINCOLN, NE 68508
(402) 476-8482
(800) 642-6178
(402) 476-8731