2024 Awards Nomination Form

Nominee’s First Name (or Company Name)

First

Nominee’s Last Name

Last

Nominee’s Job Title

Nominee’s Organization

City

State

Nominee’s Email Address

Nominee’s Phone Number

Which award is this nomination for?

Star Award

Photon Award

Gene Scott Education Award

Please write a sentence or two as to why you support this nominee. Be specific about why you are nominating for the award noted above.

Nominator’s First and Last Name

Nominator’s Organization

Nominator’s Email Address

Use this space to enter any additional information or comments that you would like to share.

If necessary, you may upload a file here. (Not required)

Captcha

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