Skip to content
John Avery Whittaker Award Nomination Form
*
1.
Your Name
(Required.)
*
2.
Your Email Address
(Required.)
*
3.
Your Phone Number
(Required.)
*
4.
Person Who You Are Nominating
(Required.)
*
5.
Person's Phone Number
(Required.)
6.
Person's Email Address (if available)
*
7.
In 30 words on less, how has this person impacted your life?
(Required.)
*
8.
In 30 words or less, what "Whit" qualities does this person have?
(Required.)
*
9.
In 30 words or less, why should this person receive the John Avery Whittaker Award?
(Required.)