ADEC Award Nomination Form

Please complete the following information below to submit your nomination to the Awards & Recognition Committee. If you would like to nominate more than one individual for any award category, please submit one entry per individual.

Additional details can be found on the ADEC awards website regarding:

Individual award description and criteria
Overall awards process
Awards timeline

For questions regarding award nomination submission please contact ADEC headquarters via email at adec@adec.org.

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* 1. What is your first and last name?

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* 2. What is your email address?

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* 3. I would like to nominate the following individual:
(Please provide first, last and appropriate credentials)

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* 4. Nominee's Email Address

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* 5. I would like to nominate the individual listed above to be considered for the following award:

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* 6. Please share your reasoning for nominating the above individual and why they should be considered for the specified award. You may copy text from another document into the text field below.

Question Title

* 1. What is your first and last name?

Question Title

* 2. What is your email address?

Question Title

* 3. I would like to nominate the following individual:(Please provide first, last and appropriate credentials)

Question Title

* 4. Nominee's Email Address

Question Title

* 5. I would like to nominate the individual listed above to be considered for the following award:

Question Title

* 6. Please share your reasoning for nominating the above individual and why they should be considered for the specified award. You may copy text from another document into the text field below.

* 3. I would like to nominate the following individual:
(Please provide first, last and appropriate credentials)