2020 IMA Hall of Fame Application

Please provide all information by Friday, February 28, 2020

If all of the information requested is not available immediately, please fill out the form as much as possible and email any additional information to info@incentivemarketing.org once received. Please make sure to include the words "Hall of Fame" and the nominee's last name in the subject line of the email.

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* 1. Nominator's Information

Name

Company

Title

Phone Number

Email Address

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* 2. Nominee Information

Name

Contact information if available

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* 3. Why do you think the candidate should be a member of the IMA Hall of Fame?

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* 4. What impact do you think the nominee has had on the incentive industry?

If you would prefer to upload a document with information about the candidate, you can attach a document below.

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* 5. Synopsis and/or Supplementary Information Attachment (if needed)

If you have additional information for any of the questions above, please upload a PDF or Word document here.

PDF, DOCX, DOC file types only.

Choose File

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* 6. Industry Involvement (Optional)

Number of years in industry

Industry certifications

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* 7. Industry companies worked for (Optional)

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* 8. Volunteer experience -board & committee (Optional)

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* 9. Awards Received (Optional)

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* 10. Published articles/interviews for industry media (Optional)

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* 11. Industry Speaking Experience (Optional)

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* 12. Other

The IMA office reserves the right to verify all information submitted on this form.

Please submit this form by 12:00 pm Eastern Time on March 20, 2019. Questions can be sent to: kwesloh@incentivemarketing.org