Ben Rust Award Nomination

Webform October 20, 2020

Local unions may submit nominations for Ben Rust Award by completing this form. Supporting materials are encouraged; you may upload up to three documents.

Find complete information about the Ben Rust Award and previous recipients.

SUBMITTED BY

First name: *

Last name: *

Local union: *

Officer title: *

Email: *

Cell phone: *

NOMINEE

Name of nominee: *

Nominee address: *

City: *

Zipcode: *

Nominee email: *

Nominee cell phone: *

Nominee status: *

Active employee

Retiree

ABOUT THE NOMINEE

Tell how your nominee meets the criteria for the Ben Rust Award below. Or upload the nominee information in a separate text document and upload other support documents if desired :

Upload #1:

Upload #2:

Upload #3:

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