* 1. Your Information (Nominator)

* 2. Nominee's Information (if not a self nomination)

* 3. Select which best describe your relationship to the nominee:

The FDLI Distinguished Service and Leadership Awards recognize individuals from the food and drug law community for their contributions to the field.

* 4. In the space provided below, please describe how the nominee has contributed to the field of food and drug law. Emphasis should be placed on how the nominee has impacted the larger community, and not exclusively to his or her practice or profession. Consideration will be given to volunteerism, community building, significant contributions to the field, and mentorship. 
(150-300 words recommended)

* 5. Share one example of contribution that best exemplifies the community leadership described above. 

* 6. (Optional) Additional comments for selection committee consideration: 

Thank you for your nomination!

The information you provided will be reviewed by our Awards Selection Committee.  

Winners will be presented at the FDLI's Annual Conference, May 3 - 4, 2018. 

Please contact Meghan Crowley at meghan.crowley@fdli.org or 202-222-0904