SMPS VA Chapter Awards Nomination Form

1.Select the Award you are submitting this application for:
2.Name of Nominee:
3.Name of Firm
4.Nominee Title:
5.I am nominating the person above:
6.I am self-nominating as an employee of the firm listed above:
7.How many years of experience does this individual have:
8.If you nominated someone other than yourself, please provide the following. Your nomination will stay confidential if you choose. This information will be used to help ensure we have as much information as possible to award your nominee or if we have any questions.
9.In your best words, please describe why this individual was nominated. Please include any specific actions they have done, projects they helped with, or any praise/awards they have received. Describe their role and accomplishments. :