Question Title

* 1. Nominating Organization (Must be CIC Member)

Question Title

* 2. Contact Person

Question Title

* 3. Email

Question Title

* 4. Direct Phone

Question Title

* 5. Address/ City/State/Zip/Country

Question Title

* 6. Project/ Activity Being Nominated

Question Title

* 7. Award Category Being Nominated:

Question Title

* 8. Narrative Providing Brief Description of the nomination, why it should be considered, how it might be innovative to the community indicators field

Question Title

* 9. Project link if applicable

T