Before filling out this nomination form, please carefully review the eligibility and selection criteria for this award.

This nomination form must be completed in a single session (you cannot save your work and come back to it later). It is strongly recommended to read the nomination form entirely before beginning in order to make sure you have all necessary information and documents ready. 

Submission deadline: 11:59 PM ET on Friday, January 29, 2021.

Nominee information
Contact person submitting this nomination
Contact person submitting this nomination
Nominator information
Nominator registration information
Letter of support from first nominator
Please attach a letter of support. It should provide evidence and validation of the contributions described below. The letter should not exceed 2 pages.
One file only.
80 MB limit.
Allowed types: pdf, doc, docx.
Second nominator information
Letter of support from second nominator
Please attach a letter of support. It should provide evidence and validation of the contributions described below. The letter should not exceed 2 pages.
One file only.
80 MB limit.
Allowed types: pdf, doc, docx.
Third nominator information
Letter of support from third nominator

Please attach a letter of support. It should provide evidence and validation of the contributions described below. The letter should not exceed 2 pages.

 
One file only.
80 MB limit.
Allowed types: pdf, doc, docx.
Nomination Information