2023 Neil Armstrong™ Award of Excellence Nomination

2023 NEIL ARMSTRONG™ AWARD OF EXCELLENCE

Award Overview, Eligibility, and Criteria

Nominee Information *required
Name*

First Name Last Name
Date of Birth

MonthDay Year
Date
University Attended when Awarded Scholarship*
Year Awarded Astronaut Scholarship*
Nominee Phone Number*
Nominee Email Address*
example@example.com
Nominee Mailing Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Nomination Upload *required
Written Nomination

Input should:

- Describe the achievement(s) by providing details about the scientific discovery, creative new technology, new and advanced process(es) or system(s), patent application(s), novel prototype(s) and/or other innovative contribution(s).

- Explain how the achievement aids the United States in global technology leadership, inspires future generations, and/or changes society.

- Identify any industry(ies) and/or segment(s) of society that benefit from the achievement.

- Describe any challenges faced and how they were overcome to achieve the end result.

- Identify the qualities and characteristics that the nominee exemplifies that demonstrate traits such as integrity, perseverance, critical thinking, intellectual daring, and/or a passion for exploration. How has the nominee and their achievement(s) demonstrate a commitment to the pursuit of excellence?

- Describe how the accomplishment demonstrates nominee's commitment to the pursuit of excellence.

Written submission should be no more than 1,000 words.
Nomination Input*

function SvgDhtupload2(props) { return /* @__PURE__ */ react.createElement("svg", dhtupload_svg_extends({ width: 54, height: 47, xmlns: "http://www.w3.org/2000/svg" }, props), dhtupload_svg_path || (dhtupload_svg_path = /* @__PURE__ */ react.createElement("path", { d: "M40.213 10.172c1.897.21 3.68.738 5.35 1.58a15.748 15.748 0 0 1 4.374 3.242 15.065 15.065 0 0 1 2.951 4.533c.72 1.704 1.08 3.522 1.08 5.455 0 1.827-.28 3.654-.843 5.48-.562 1.828-1.379 3.47-2.45 4.929A13.39 13.39 0 0 1 46.669 39c-1.599.948-3.452 1.458-5.56 1.528H37.26a1.62 1.62 0 0 1-1.185-.5 1.62 1.62 0 0 1-.501-1.186c0-.457.167-.852.5-1.186.334-.334.73-.5 1.186-.5h3.848c1.44 0 2.75-.37 3.926-1.108a10.851 10.851 0 0 0 3.03-2.846 13.53 13.53 0 0 0 1.95-3.9 14.23 14.23 0 0 0 .686-4.321c0-1.582-.316-3.066-.949-4.454a11.623 11.623 0 0 0-2.582-3.636 12.857 12.857 0 0 0-3.742-2.478 11.054 11.054 0 0 0-4.48-.922l-1.212-.053-.37-1.159c-.878-2.81-2.292-4.998-4.242-6.562-1.95-1.563-4.594-2.345-7.932-2.345-2.108 0-4.005.36-5.692 1.08-1.686.72-3.136 1.722-4.348 3.005-1.212 1.282-2.143 2.81-2.793 4.585-.65 1.774-.975 3.68-.975 5.718h.053l.105 1.581-1.528.264c-1.863.316-3.444 1.317-4.744 3.004-1.3 1.686-1.95 3.584-1.95 5.692 0 2.39.8 4.462 2.398 6.219 1.599 1.757 3.488 2.635 5.666 2.635h4.849c.492 0 .896.167 1.212.5.316.335.474.73.474 1.187 0 .456-.158.852-.474 1.185-.316.334-.72.501-1.212.501h-4.849a10.08 10.08 0 0 1-4.374-.975 11.673 11.673 0 0 1-3.61-2.661 13.173 13.173 0 0 1-2.478-3.9A12.073 12.073 0 0 1 0 28.301c0-2.706.755-5.148 2.266-7.326 1.511-2.178 3.444-3.636 5.798-4.374.14-2.354.658-4.542 1.554-6.562.896-2.02 2.091-3.777 3.584-5.27 1.494-1.494 3.25-2.662 5.27-3.505C20.493.422 22.733 0 25.193 0c1.898 0 3.637.237 5.218.711 1.581.475 3.004 1.151 4.269 2.03a13.518 13.518 0 0 1 3.268 3.215 18.628 18.628 0 0 1 2.266 4.216Zm-11.964 13.44 6.22 6.85c.245.247.368.537.368.87 0 .334-.123.642-.369.923l-.421.263c-.211.246-.484.343-.817.29a1.544 1.544 0 0 1-.87-.448l-3.69-4.11v16.97c0 .492-.166.896-.5 1.212-.334.316-.729.474-1.186.474-.492 0-.896-.158-1.212-.474-.316-.316-.474-.72-.474-1.212V28.25l-3.584 4.005a1.544 1.544 0 0 1-.87.448.959.959 0 0 1-.87-.29l-.42-.264c-.247-.28-.37-.588-.37-.922 0-.334.123-.624.37-.87l6.113-6.746v-.052l.421-.422a.804.804 0 0 1 .396-.29c.158-.053.307-.079.448-.079.175 0 .333.026.474.079.14.053.281.15.422.29l.421.422v.052Z", fill: "none" }))); }

Last_First_MI_2023_NAAE_Profile
Cancelof

Reference/Partner/Stakeholder #1 *required
Please identify any partners or stakeholders supporting the achievement, and outline how they were involved in development and implementation.

NOTE: A minimum of 1, and up to 3, references, partners, or stakeholders must be listed in this References Contact Information section of the nomination form.
Name*

First Name Last Name
Professional Title
Company/Firm/Agency*
Contact Phone Number*
Contact Email*
example@example.com
Briefly outline how this partner/stakeholder was involved in development and implementation.*

Reference/Partner/Stakeholder #2 (optional)
Please identify any partners or stakeholders supporting the achievement, and outline how they were involved in development and implementation.

NOTE: A minimum of 1, and up to 3, references, partners, or stakeholders must be listed in this References Contact Information section of the nomination form.
Name

First Name Last Name
Professional Title
Company/Firm/Agency
Contact Phone Number
Email
example@example.com
Briefly outline how this partner/stakeholder was involved in development and implementation.

Reference/Partner/Stakeholder #3 (optional)
Please identify any partners or stakeholders supporting the achievement, and outline how they were involved in development and implementation.

NOTE: A minimum of 1, and up to 3, references, partners, or stakeholders must be listed in this References Contact Information section of the nomination form.
Name

First Name Last Name
Professional Title
Company/Firm/Agency
Contact Phone Number
Email
example@example.com
Briefly outline how this partner/stakeholder was involved in development and implementation.

Nominator's Information *required
Nominator's Name*

First Name Last Name
Professional Title *
Nominator's Relationship to Astronaut Scholar*
Phone Number*
Nominator's Email*
example@example.com
Nominator's Organization Name
Nominator's Organization mailing address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Additional Contacts (optional)
Spouse Name

First Name Last Name
Spouse Phone
Parent/Guardian Name # 1

First Name Last Name
Parent/Guardian Phone Number #1
Parent/Guardian Name # 2

First Name Last Name
Parent/Guardian Phone Number #2

Nominee Employer Contact Information (optional)
Company/Firm/Agency
Contact Name

First Name Last Name
Professional Title
Contact Email
example@example.com
Contact Phone Number
Employer Mailing Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Confirm & Submit
Confirm Before Final Submission (as applicable)

Uploaded file uses naming convention LAST_FIRST_2023_NAAE_ProfileWritten submission is no more than 1,000 wordsNOMINEE intends to attend the Innovators Gala where the award will be presented on August 19, 2023 in Orlando, FLNOMINATOR intends to attend the Innovators Gala where the award will be presented on August 19, 2023 in Orlando, FLEMPLOYER intends to attend the Innovators Gala where the award will be presented on August 19, 2023 in Orlando, FL
Submission Date*

MonthDay Year
Date on Final Submission of complete package
In accordance with federal law and U.S. Department of the Treasury policy, this institution is prohibited from discriminating on the basis of race, color, national origin, sex, age, or disability.

To file a complaint of discrimination write to the Direct – Office of Equal Opportunity and Diversity, 1750 Pennsylvania Avenue, NW, Washington, DC 20220. The Department of the Treasury is an equal opportunity provider and employer.
Should be Empty:

2023 NEIL ARMSTRONG™ AWARD OF EXCELLENCE

Award Overview, Eligibility, and Criteria