2019 Leadership in Alcohol Regulation Award Nominations

Nominations should provide information on how the nominee serves as an example to others in alcohol regulation. Consideration will be given to how the actions of this nominee are helpful to other agencies or employees, achieve desired results and engage or impact a broad coalition of stakeholders. Self-nominations are permitted, and letters of support are encouraged.

DEADLINE: The deadline for nominations is June 17, 2019, 5:30 p.m. EDT. Nominations submitted after this deadline will not be considered.

AWARD: The Leadership in Alcohol Regulation Award recipient will be honored during the Center’s 12th Annual Alcohol Law and Policy Conference in Boston, Mass. The award recipient also may be eligible to receive complimentary registration and a speaking opportunity at a future Alcohol Law and Policy Conference.

For more information, please call (703) 519-3090 or email info@centerforalcoholpolicy.org.

Question Title

* 1. Your Contact Information:

Name

Employer

Email Address

Phone Number

Question Title

* 2. Agency/Person You Are Nominating:

Question Title

* 3. Nominee's Contact Information:

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

Question Title

* 4. Principal Contact of Agency:

Name

Email Address

Phone Number

Question Title

* 5. Please state why you believe this agency/person is deserving of the 2019 Leadership in Alcohol Regulation Award (additional documents may be attached).

Question Title

* 6. Please upload any additional documents.

DOCX, DOC, JPEG, JPG, PDF, PNG file types only.

Choose File