General Information

Nominator Information

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1. Your name (Required.)

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2. Company or association (Required.)

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4. Relationship to the nominee (Required.)

Nominee Information

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5. Nominee’s name (Required.)

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6. Nominee’s company or association (Required.)

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7. Nominee’s title or role (Required.)

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9. Award category (Required.)

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10. Why are you nominating them?
In a few sentences, tell us why this person or company deserves to be recognized. (Required.)

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11. How have they supported the Chapter?
Please share specific examples of their involvement, such as committees, events, education, volunteering, or other contributions. (Required.)

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12. What impact have they made?
Share one or two examples of something the nominee accomplished, improved, or helped make successful. (Required.)

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13. What sets them apart?
What makes this nominee especially deserving of recognition? (Required.)

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14. Optional Supporting Materials
You may include up to three supporting items, such as testimonials, project results, educational materials, or examples of Chapter involvement

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