2023 Awards Nomination Form

SEA Annual Awards Program

2023 Nomination Form
This nomination form must be completed in its entirety. You will be unable to return or edit once submitted. Some sections are collapsible, so please click on the arrow button to the left to show the form fields.

Award Categories
Which award are you applying for?:*

Outstanding Senior Executive/Professional of the YearSpirit of Excellence in Diversity, Equity, Inclusion and AccessibilitySenior Executive / Professional Lifetime Achievement

Nominee Information
Name*

First NameLast Name
Agency*
Sub Agency/Office
Email Address*
Phone Number*
Nominee's Work Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Is the nominee an SEA member?*

YesNoUnsure
What grade is the nominee?*

SESSL/STSES Equivalent

Nominee Submission (click arrow)
Please provide up to a 50-word high level summary of the nominee.*

0/50
Please provide a detailed summary, up to 500-words, that clearly articulates why the nominee is deserving of the award while citing specific examples and impacts. *

0/500

Cover/Reference Letter from Agency Head or Authorized Representative (click arrow)
Agency Head or Authorized Representative*

First NameLast Name
Agency Head or Authorized Representative Phone Number*
Please enter a valid phone number.
Agency*
Sub Agency/Office
Email Address*
example@example.com
Letter Upload (PDF)*

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Submitter Details
Name*

First NameLast Name
Agency*
Sub Agency/Office*
Email Address*
Phone Number*
Please verify that you are human*
Should be Empty:

SEA Annual Awards Program