Nomination Form
Nominator Information
Name *
Your answer
Email *
Your answer
Phone *
Your answer
Nominee Information
Award Category *
Nominee Description
What is the innovation, initiative / achievement, or contribution of the nominee? (500 words max) *
Your answer
Why Are They Deserving?
How does this nomination relate to one or more of the award’s criteria? (500 words max - criteria can be reviewed at *
Your answer
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