2018 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, Tuesday, May 22, 2018.
• 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, 2018 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
Signature *
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