Award of Professional Merit

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 Letter

If your nomination was written in a single, inclusive document please submit it here and skip the next two fields.

Max. file size: 25 MB.

Please provide a biographical sketch of the nominee (1000 words or less).

Please provide a brief narrative of significant contributions made by the nominee.

This may be a single outstanding activity or project, or an accumulation of contributions (< 1500 words).

Supporting Materials

Please upload any materials supporting this nomination, including letters of support.

Drop files here or

Max. file size: 25 MB.

Additional Nominating Individuals

Name

This field is for validation purposes and should be left unchanged.