CSHA District Awards Nomination Form
Nominator Information
Nominator First and Last Name *
This digital name will be in lieu of a signature.
Your answer
Nominator Email Address *
Your answer
Nominator Phone Number *
Your answer
Nominee Information
Nominee First and Last Name *
Your answer
Nominee Email Address *
Your answer
Nominee Mailing Address *
Street Address, City, State, Zip Code
Your answer
Nominee Phone Number *
Your answer
Nominee CSHA Membership Status *
Nominee Number of Continuous Years as a CSHA Member *
Your answer
Other Awards Received by Nominee *
Write N/A if none.
Your answer
Roles and Offices Held in CSHA *
Write N/A if none.
Your answer
Award for Nomination *
Written Narrative
Not exceed 300 words. Please describe why the nominee should be considered for the award based on the criteria in Board Governing Policy 9.8.
*
Your answer
Final Steps
Email two letters of support from CSHA members and nominee current CV or resume to honors@csha.org . The subject line must read "Nominee Name, Award for Nomination ". Emails without this subject line will not be considered. Thank you!
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