Pub. 1 2019 Issue 5

S E P T E M B E R / O C T O B E R 2 0 1 9 22 nebraska cpas • NOMINATION FORM • AWARDS NEBRASKA SOCIETY OF CPAs PUBLIC SERVICE AWARD DISTINGUISHED SERVICE TO THE PROFESSION AWARD OUTSTANDING ACCOUNTING EDUCATOR AWARD OUTSTANDING CPA IN BUSINESS & INDUSTRY AWARD Application for Award Nomination I nominate the following Nebraska Society of CPAs member as a candidate for the: ⃝ Public Service Award ⃝ Outstanding Accounting Educator Award ⃝ Distinguished Service to the Profession Award ⃝ Outstanding CPA in Business & Industry Award Name of Candidate: ________________________________________________________________________ Company & City: ___________________________________________________________________________ Phone: _____________________________________ Email: _____________________________________ Nomination Submitted By: __________________________________________________________________ Phone: _____________________________________ Email: _____________________________________ DEADLINE FOR NOMINATIONS: OCTOBER 31, 2019 Mail: Nebraska Society of CPAs, 635 South 14 th Street, Suite 330, Lincoln, NE 68508 / Email: society@nescpa.org