Application for the Tom Hughes Collaboration Award | Deadline to Submit August 15, 2022

Your Information

Question Title

* Your Information (Individual completing Application)
Contact information will be used if the awards selection committee needs to clarify any answers or has additional questions. Thank you.

Name

Organization

Title

Email

Phone

Question Title

* Are you nominating

an individual

a single organization

2 organizations that collaborated to solve a problem

20% of survey complete.