Skip to content
ICLA Synergy Award - Collegiate Licensing Program of the Year
NOMINEE INFORMATION
*
1.
Nominee Name
(Required.)
*
2.
Nominee Title
(Required.)
*
3.
Nominee Institution
(Required.)
*
4.
Nominee Address
(Required.)
*
5.
Nominee Phone
(Required.)
*
6.
Nominee Email
(Required.)
NOMINATOR INFORMATION
*
7.
Nominator Name
(Required.)
*
8.
Nominator Title
(Required.)
*
9.
Nominator Institution
(Required.)
10.
Nominator Address
*
11.
Nominator Phone
(Required.)
*
12.
Nominator Email
(Required.)
*
13.
Please describe why you feel this individual/institution is deserving of the ICLA Synergy Award
(Required.)
