Nomination for Personal Award
Please email any supplemental materials to
Select an Award *
Choose an award for this nomination.
About the Nominee
Name of Nominee *
Your answer
Address of Nominee *
Your answer
Telephone Number of Nominee *
Your answer
Accomplishments of Nominee *
Specifically address each criterion for this award category.
Your answer
About the Individual Making the Nomination
Person making nomination must be a NCPLDA member.
Director's Name *
Your answer
Director's Address *
Your answer
Director's Telephone Number *
Your answer
Accompanying Materials
Did you submit accompanying materials? *
Materials should be emailed to
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