1. Default Section

Question Title

2. Name of Organization:

Question Title

3. Breadth of Organization:

Question Title

4. Listserv/Roster Size:

Question Title

5. Active membership (Average attendence for most events):

Question Title

6. Contact Info:

Question Title

7. Name of Event / Program:

Question Title

8. How does this organization meet the criteria for this award? Please see award descriptions. (500 words or less, less than 250 preferred. Feel free to use the words "we" and "our")

T