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* Nominator Information

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* Nominee Information

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* Degree:

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* Year:

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* Institution:

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* Degree:

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* Year:

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* Institution:

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* Summary statement of nominee's qualifications (maximum 50 words)

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* Upload up to 10 additional pages of supporting materials (8.5x11 PDF) addressing the nominee's attributes in support of the Kleinschmidt Criteria (see Call for Nominations)

PDF file types only.
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* Upload a maximum two-page letter of support from the nominator setting forth specific reasons for the nominee's selection for the Kleinschmidt Award

PDF file types only.
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* Upload a photograph of the nominee

PNG, JPG, JPEG file types only.
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