2017 Jean Lumb Awards - Nomination Form
Hi there! You can nominate an applicant for the Jean Lumb Awards here.

A few friendly reminders:
• All nominations must be received by midnight EST, Monday, May 22, 2017.
• Nominations and all supporting documentation become the property of the Jean Lumb Foundation.
• Jean Lumb Awards volunteers may contact you by email or phone to verify details of your nomination.
• Applicants will be notified by August 31, 2017 of the judging committee's decision.

Thank you for your support!

Applicant / Nominee Info
We will use this information to match your nomination with the correct application.
Name of Applicant
Your answer
Email of Applicant
Your answer
Which category is your nominee applying for?
Your Nomination Details
Your Full Name
Your answer
Your Email
Your answer
Primary Phone (ex: 416-555-0190)
Your answer
Secondary Phone
Your answer
How do you know the applicant?
Note: Family members cannot nominate.
Your answer
Please share your reasons for nominating this applicant
Your answer
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