NOMINATION FORM
Nominations are open until March 15, 2023

(Live - Old) Council Award of Special Recognition Nomination
A person can be nominated for only one award and self nominations are accepted.
Submitter's Address
City
State/Province
Zip/Postal
Country
Nominee Address
City
State/Province
Zip/Postal
Country
Is Nominee aware of this nomination? *
0 of 200 max words

Maximum file size: 20MB

Upload any documents to support your nomination (these may include resume/vita; letters of recommendations; transcript; published /unpublished work, etc.)

Maximum file size: 20MB