Nomination Application to CWS
This survey is intended for nominating CWS members for one or more awards. Each individual is able to nominate him or herself. Please fill in as much information as possible, while questions 1-3 are required.

Thank you for your contribution! We greatly appreciate your time.

1. Name of nominee *
Last Name, First Name
Your answer
2. Nominee email address *
Your answer
3. Name of the award *
(e.g. Founders Award)
Your answer
4. Award website URL
Your answer
5. Award deadline
Please specify MMDDYYYY. For recurring awards, such as March 15th of each year, specify MMDD only.
Your answer
6. Briefly describe (two or three sentences) why you are nominating this individual
Please include information such as what organization(s) this individual is involved in and what conference(s) he/she is presenting at.
Your answer
7. Submitter name (if other than nominee him- or herself) and email
Last Name, First Name, email
Your answer
8. Other information
Any other information you'd like to provide
Your answer
Never submit passwords through Google Forms.
This form was created inside of Case Western Reserve University. Report Abuse - Terms of Service