2024 Award Nomination - Honorary Member
Please fill the form below accurately and ensure you follow the directions.
2024 award nominations should be for activities from August 2023-June 2024.
Nominee
*
First Name
Last Name
Organization
*
E-mail
*
Phone Number
-
Area Code
Phone Number
Nomination Details:
Give specific examples of how nominee has made significant contributions to the purposes of the Association.
*
Give specific examples of exemplary service in providing education and training programs:
*
Support materials
Browse Files
Examples or support materials can be uploaded here if applicable.
Cancel
of
Photos: Please upload at least two photos, but no more than 5 of the nominee.
*
Browse Files
Cancel
of
Nominators:
Must be nominated by five (5) KEMA members in good standing.
1. Nominator Name
*
1. Nominator Organization
*
1. Nominator E-mail
*
2. Nominator Name
*
2. Nominator Organization
*
3. Nominator Name
*
3. Nominator Organization
*
4. Nominator Name
*
4. Nominator Organization
*
5. Nominator Name
*
5. Nominator Organization
*
Please Verify Membership:
Regular KEMA Member
KEMA Life Member
Submit
Should be Empty: