Member of the Month Nomination Form

CAFP Member of the Month Nomination

Please provide us with the name and location of your nominee for Member of the Month. Also, please provide a brief narrative as to why they deserve to be recognized as the CAFP Member of the Month. While we may not recognize your nominee as a CAFP Member of the Month, we appreciate your time to share their story and may reach out to you or your nominee to recognize them in some other way.

1. Your name: *This question is required.

2. Your email: *This question is required. This question requires a valid email address.

3. Name of your nominee for CAFP Member of the Month *This question is required.

4. In which city does the nominee work or practice? *This question is required.

5. In which county does the nominee work or practice? *This question is required.

6. Why would this person deserve to be recognized as CAFP Member of the Month? *This question is required.