Name of Nominee* First Last Email of Nominee* Name of Nominating Individual #1* First Last Email of Nominating Individual #2* Name of Nominating Individual #2* First Last Email of Nominating Individual #2* Nomination LetterIf your nomination was written in a single, inclusive document please submit it here and skip the next three fields.Max. file size: 25 MB.Please provide a biographical sketch of the nominee (1500 words or less).Please provide a brief narrative of significant contributions made by the nominee.This may include outstanding activities or projects (< 1500 words). Please include information pertaining to public service, outreach, and engagement.Please provide a brief narrative of significant contributions made by the nominee.Please include information pertaining to the areas of professional society service and involvement, including mentorship and professional development of others (1500 words or less).Supporting MaterialsPlease upload any materials supporting this nomination, including letters of support. Drop files here or Select files Max. file size: 25 MB. Additional Nominating Individuals Add RemoveEmailThis field is for validation purposes and should be left unchanged.