PART ONE: Contact Information

Innovation Project of the Year

This award acknowledges an organization or business whose science and/or technology and/or agriculture project demonstrates leadership, innovation and/or creative use of science and/or technology. This award is designed for organizations or businesses that are not necessarily science and/or technology companies, but are using technology and/or science as an enabler to better serve their operation and/or clients.

An ideal project would include benefits such as the advancement of the organization or business, improvement of client/customer services and positive impact on the science and/or technology and/or agriculture community or the community at large. The project must have demonstrated tangible success/return to the organization or business. Pilot projects are acceptable nominations.

Please Note: There are two parts to this nomination form. Supporting documentation may be included.

* 1. Name of Nominee:

* 2. Company Name:

* 3. Address:

* 4. Phone:

* 5. Email:

* 6. Submitted by (Self nominations are permitted):

* 7. Submitter Phone:

* 8. Submitter Email: