Name of Award*

Fellows Excellence Award

Career Mentoring Award

Edwin O. Stene Award for Managerial Excellence

Diversity, Equity, and Inclusion Award

Dena Laurent Sorenson Courage Award

Lifetime Achievement Award

Name of Nominee*

Nominee's Current Position*

Nominee's Current Employer*

Nominee's Email*

Summary Reason for the Nomination*

Name of Person/People Submitting Nomination*

Nominator's Contact Information (Email)*

Explain your support for the nominee and/or provide additional information about the nominee that will assist the committee in the selection process. (2-4 paragraph response)*

Submit