Complete this form to submit your nomination for an FLA Award. In addition, you will be instructed to submit any supporting documentation by email to firstname.lastname@example.org.
If you wish to save a copy of your submission, print each page before continuing. After we receive the nomination and any supporting documentation, we will send you an email confirming receipt. Please allow up to 2 business days for receipt confirmation. [Please note: No confirmations will be sent between December 23, 2016 and January 2, 2017 due to the holidays.]
The deadline for submitting this form along with all supporting documentation is March 13, 2017 at 11:59 p.m.