Once you click the submit button your nomination will be sent to the selection committee. You will receive confirmation that your nomination form has been received. If the form will not submit, please scroll up to see required fields marked with a red asterisks that have been left blank. All required fields must be filled out.
If you have any questions, please contact Katrina Hartz Taylor, Distinguished Service Award Chair, at email@example.com.
All nominations must be submitted by December 1, 2015.