Nominate an Award Recipient!Complete the Form Below to initiate your Nomination

Complete this form to nominate yourself or someone else for one of the OJNI Virtual Awards. Further instructions for payment (either online or by check) will appear on the next screen, once you complete and submit the application.



YOUR NOMINATION

Nominating Person's Information:



Award Recipient Information:



Award Information:

Please Select Award Level





Reason for nominating this recipient:


Select Payment Method



ONLINE PAYMENT

COMPLETE THE FORM - THE PAYMENT AREA WILL APPEAR ON NEXT SCREEN

BY CHECK *

COMPLETE THE FORM - MAKE CHECK PAYABLE TO OJNIC AND SEND TO:
OJNIC
c/o Dr. Dee McGonigle
100 Serenity Lane
Kittanning, PA 16201

*Please note that the nomination cannot be processed until we receive the payment.