Your Name

Question Title

* 1. Your Name

Your Email Address

Question Title

* 2. Your Email Address

Your Phone Number

Question Title

* 3. Your Phone Number

Person Who You Are Nominating

Question Title

* 4. Person Who You Are Nominating

Person's Phone Number

Question Title

* 5. Person's Phone Number

Person's Email Address (if available)

Question Title

* 6. Person's Email Address (if available)

In 30 words on less, how has this person impacted your life?

Question Title

* 7. In 30 words on less, how has this person impacted your life?

In 30 words or less, what "Whit" qualities does this person have?

Question Title

* 8. In 30 words or less, what "Whit" qualities does this person have?

In 30 words or less, why should this person receive the John Avery Whittaker Award?

Question Title

* 9. In 30 words or less, why should this person receive the John Avery Whittaker Award?

T