Nominee First Name *

Nominee Last Name *

Nominee Institution (if applicable)

Nominee Email *

Nominee Phone

Is the nominee aware that they are being nominated for this award? *

Enter required value Yes No

Nominator Name *

Nominator Email *

Nominator Phone

Nomination Statement *

Please provide a nomination statement of 200-500 words that may inform the citation in the event that the nominee is selected.

Nominee CV *

20MB max

Letter of Nomination *

Please upload a letter of nomination with supporting reasons for the choice of the nominee. Specific information about the quality and length of service of the nominee should be provided, with careful consideration given to continuous, dedicated service, and membership.

20MB max

Contributions *

Please upload a comprehensive list of the contributions of the member to ASIS&T. Such contributions need not have been on an international level, but nominees should show strong continued service to the Association. Good sources for this data are the ASIS&T Headquarters, the nominee’s resume, and other members.

20MB max

Supporting Letter 1

You may upload up to three (3) supporting letters of up to 3 pages each.

20MB max

Supporting Letter 2

You may upload up to three (3) supporting letters of up to 3 pages each.

20MB max

Supporting Letter 3

You may upload up to three (3) supporting letters of up to 3 pages each.

20MB max