Nominations accepted January 1 - June 30
Please select one. I am: *
Please check one. The person I am nominating is: *
If you're nominating a UFG agent, enter your nominee's agency information:
Tell us about the positive impact that the nominee has on the community. *
What makes the nominee deserving of this award? *
If you have any supplemental documents, upload them below.
You can upload pictures (.jpeg, .png or .gifs) to include with your submission as well as PDF's, MS Word docs or text files)
Maximum allowed file size is 2 MB.
Thank you for taking the time to fill out this nomination form for the Scotty McIntyre, Jr. Go Beyond Award.
Please fill out the following information and submit online.
If you need a downloadable version of the form to print, please email us at email@example.com