2014 Notary of the Year Nomination Form

To nominate a Notary Public please complete the form linked below. Self-nominations are permitted.

Nominations must be received by the NNA no later than 5:00 pm PST on December 31, 2012.

Nominee First Name:

Nominee Last Name:

Nominee Email:

Nominee Phone:

Nominee State:

Your Relationship to Nominee:

Your First Name:

Your Last Name:

Your Email:

Please provide details on why the nominee deserves consideration:

How long has the nominee been a Notary?

Does the nominee consistently use a Notary Journal?

YES NO I don't know

Has the nominee received Notary-specific training?

YES NO I don't know

If yes, please describe:

Please describe the level of community involvement in which the nominee participates.

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