Anyone who can complete the nominator information section of the form can submit a nomination. The form asks for the nominator's name, title, organization, and contact details along with the nominee's information.
The form requests the nominee's name, title, organization, phone, fax, address, city, state, zip, and email, plus the nominee's CEO and immediate supervisor. You may also provide an organization address if it differs from the nominee's address above.
You must attach a one page document that briefly describes the nominee's involvement in a leadership role within their organization, community, Chapter activities, and/or special projects. The narrative must describe in detail the nominee's contribution, how it was identified, the process implemented, and the overall outcome of the nominee's contribution.
Fields marked with a red asterisk are required. The form also includes a reCAPTCHA check that must be completed before submitting.
Complete all fields, attach your one page document, complete the reCAPTCHA, and click the Submit button. A Clear button is available if you need to reset the form.