Award Nomination Form
Please use this form to submit an award nomination. Both the nominator and the nominee must be able to attend NYSAA's Fall Conference. The nominator is responsible for purchasing both their own and the nominee's award dinner ticket(s) if either/both are not purchasing the full meal package.
Your Name
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Your Phone
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E-mail
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example@example.com
Name of Award
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(from list above)
Name of Nominee
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Nominee's Municipality(ies)
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Nominee's Job Title and Years of Service (if known)
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Briefly describe how/why nominee displays the qualities of the award criteria.
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Give examples of how the nominee has contributed to the assessing field through volunteering time, e.g. committee or board service.
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Share a personal experience, story, or connection you have had with this nominee.
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Has this nominee inspired you? Tell us how.
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Will you and the nominee be available to attend the Fall Conference?
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Submit
Should be Empty: