Nominate a Candidate

Nomination form

Nominations can only be made for specific individuals — groups or organizations will not be accepted. Any employee of UFG or a UFG partner agency can nominate one or more candidates in either of the two categories.

Nominations are accepted from January 1 through June 30 each calendar year. Self-nominations are accepted from UFG employees only.

If you need a downloadable version of the form to print, please email us at gobeyond@unitedfiregroup.com.

Tell us about yourself

First Name *

Last Name *

Email *

Phone *

I Am (please select one) *

A UFG employee

An employee of a UFG partner agency

Other...

Tell us about the nominee

First Name *

Last Name *

Email *

Phone *

They Are (please select one) *

A UFG employee

An employee of a UFG partner agency

If they're a member of a partner agency

Agency Name

Agency Code (if known)

City

State

ZIP Code

Tell us about the organization

Tell us about the organization(s) the nominee serves (name, city/state, mission, so on). Remember, we don't know all the wonderful things about the nominee that you do, so the more specific information you can share with us the better. *

Organization Information

Tell us about the impact

UFG always strives to deliver on a promise of support to communities. Explain how the nominee's actions support those in need and enhance lives. *

Impact Information

Tell us how they reflect the SPIRIT of UFG

When UFG's core values unite (service, partnerships, innovation, respect, integrity, trust) the SPIRIT of UFG comes shining through. Tell us how you think the nominee's actions reflect the SPIRIT of UFG. *

SPIRIT Information

Tell us how they're continuing the legacy

Scotty McIntyre, Jr., firmly believed insurance was a people business—a founding principle that's woven into the fabric of UFG to this day. He believed in giving without recognition to make this world a better place. Explain how, in your view, the nominee's actions follow in Scotty's footsteps. *

Legacy Information

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