Your Name
*
First Name
Last Name
Your Email
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example@example.com
Choose Award to Nominate For
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Presidential Honor
Distinguished Service
Community Honor
Meritorious Service
Peter Kerns Award for the Advancement of Professional Development
George Marcus Award for ACA Accreditation Education Service
Leadership and Service
Nominee's Name
*
First Name
Last Name
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Nominee - Contact Information
Camp/Organization
*
Title
*
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Nominee's Professional & ACA Information
Are they a member of the ACA?
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Yes
No
Unsure
Years of ACA membership
*
0-5
6-10
11-15
16 or more
ACA responsibilities and achievements (local, regional, and/or national)
Other current professional/membership affiliations
Other past professional/membership affiliations
Professional Achievements
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Nominee Qualifying Information
Brief statement explaining why you are nominating this person for this specific award
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0/750
Notable contributions to the camp community
Letter(s) of support and/or other documents you'd like to share
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