Question Title

* 1. Your Name

Question Title

* 2. Your email address

Question Title

* 3. LSA Membership Status Confirmation

Question Title

* 4. Name of proposed Honorary Member

Question Title

* 5. Email address of proposed Honorary Member

Question Title

* 6. Please provide a one- to two-paragraph explanation of why the nominee is deserving of LSA Honorary Membership.  Click here for more information about Honorary Membership and lists of current Honorary Members.

Question Title

* 7. (Optional) URL of nominee's web site

Question Title

* 8. (Optional) Upload the proposed Honorary Member's CV here.

PDF, DOCX, DOC file types only.
Choose File
No file chosen

T