*
Required
Nominating Person First Name
*
required
Nominating Person Last Name
*
required
Email address
*
required
Phone Number
*
required
Nominee First Name
*
required
Nominee Last Name
*
required
Current title, occupation or achievements:
*
required
Nominee Contact Information (optional)
Category of Nomination*
Alumni Nominee
Faculty or Staff Nominee
Friend of Gwynedd-Mercy Academy Elementary Nominee
GMA Class Year if Alumni
*
required
Relationship or connection with Gwynedd-Mercy Academy Elementary:
Details are appreciated​
Reason for nomination:
*
required
Please be as specific as possible. ​
Mercy core values:
*
required
Examples are appreciated.
Please send a confirmation email to the address below: