2018-19 USITT Midwest Section Section Member Founders Award NOMINATION FORM
Active Section members may nominate one of their fellows for this award. The award consists of a plaque briefly detailing the member’s contributions to the Midwest Regional Section and a Lifetime membership in the Section. Nominations must be made and seconded by current active members.

MEMBER NOMINATIONS due by January 20, 2019
QUESTIONS CONTACT kordertv@gmail.com

Email address *
Nominators Name *
Your answer
Nominators Job Title *
Your answer
Nominators Organization/School *
Your answer
Section Member seconding nomination *
Your answer
Seconder's email address *
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service