AEA Award Nomination Form
All nominations must be submitted by Feb. 3, 2017. Questions? Contact Connie Johnson,
I'd like to nominate...
Please give the name & position of the person you're nominating.
Your answer
Where does the nominee work?
Your answer
This nomination is for
Please select one award category:
Contact information for the nominee.
Can be email, cell phone, Twitter handle, etc.
Your answer
My name is...
Your answer
You can contact me at...
Your answer
Please indicate below if you wish to remain publicly anonymous. By clicking 'yes', your name will not be associated with the nomination. By clicking 'no', we will share your name with the person or organization you're nominating and may include it in the script during the awards ceremony.
Please tell us why you feel this individual or organization should be recognized.
Your answer
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