HUMANITARIAN AWARD NOMINATION


Complete the information below and click Submit Nomination.
Please use proper grammar when completing this form. Check your spelling and do not use ALL CAPS.


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NOMINEE INFORMATION


  • State/US Territory

  • Enter as XXX-XXX-XXXX

  • *Please provide why you believe your nominee is worthy of this award.

  • *Please provide biographical information on your nominee.



NOMINATOR INFORMATION


  • Enter as XXX-XXX-XXXX


UPLOADS


  • You may upload a maximum of three references and/or supporting material. Only Acrobat (.pdf) files can be uploaded. The file size cannot exceed 10mb. Please avoid using special characters in the file name. Keep the file name short and simple.

    REFERENCE/SUPPORTING MATERIAL 1 (optional) Choose the file to upload:


  • REFERENCE/SUPPORTING MATERIAL 2 (optional) Choose the file to upload:


  • REFERENCE/SUPPORTING MATERIAL 3 (optional) Choose the file to upload:


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  • *Required      



Once submitted, an email will be sent to the nominator listed on the nomination acknowledging receipt. .



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