NE Award Nomination Form
Please fill out this form to nominate an outstanding member or student member for the Outstanding NE Member Award (ONE Award) or Outstanding NE Student Member Award (ONE Student Award)
Nominee's Name
*
First Name
Last Name
Credentials of Nominee
*
Email of Nominee
*
example@example.com
Academy ID
*
Award Being Nominated For:
*
Outstanding NE Member Award
Outstanding Student NE Member Award
Nominee's Leadership Qualities and Achievements
*
Reasons for Nomination
*
Upload Resume/CV
*
Browse Files
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Choose a file
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of
Letter of Recommendation
*
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of
Your Name (if you are submitting this form for someone other than yourself)
First Name
Last Name
Your Email
example@example.com
Your Phone Number
Please enter a valid phone number.
Confirmation
*
I confirm that the information provided is accurate and true.
I agree to the terms and conditions of the nomination process.
Submit
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