Please complete the form below as completely as possible.  Items marked with "*" are required and must be completed in order to submit the nomination.

Nominee's Information

Your information as a Nominator (the person making the nomination)

Information for the Nominee (the person you're nominating)

If you don't get a confirmation email in your E-MAIL inbox from the Nominations Committee Chair within a few days, please contact [email protected] to verify it was or wasn't received. Beside checking your inbox, also check your Junk Folder, Spam Folder or any other place that might have been sent to your email address.

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