Award Photo and Bio Upload Form

Congratulations! You have been selected to receive an award at the ASALH 109th Annual Conference Awards Banquet on Saturday, September 28, 2024. The banquet will take place at the Omni William Penn Hotel. Please take a few minutes to complete the survey below.

This form is to be completed by the individual awardees. This information will be used on the ASALH website and shared via social media. If you have any questions, please reach out to your Awards program committee, [email protected].

THIS FORM IS FOR UPLOADING AWARDEE PHOTOS AND BIOS ONLY. NOT FOR AWARD NOMINATIONS.

(Live - Current) Award Photo and Bio Reupload form
Name
Name
First
Last
Will you be available to accept the award on Saturday, September 28, 2024 in Pittsburgh, PA?
Would you like a phone call to make arrangements for other guests who need to purchase a ticket, purchase an ad or to answer other questions?
Is there a person other than yourself with whom arrangements should be made? If so, place their name and number here.
Is there a person other than yourself with whom arrangements should be made? If so, place their name and number here.
First
Last
0 of 200 max words

Maximum file size: 5MB

Please note that by submitting this image, you agree that ASALH can use this image on its website and for promotional materials.