SEED Adult Award Nomination Form

SEED Adult Award Nomination
I wish to nominate the following person for Society of Ethiopians Established in Diaspora (SEED) national honour
Nominee Information
You must ensure that all sections of this form are completed or we will be unable to consider your nominee. The information contained in this nomination is strictly confidential and will not be communicated to any person other than those involved in the SEED BOARD MEMBERS of the AWARD SELECTION COMMITTEE
Nominee Name*

PrefixFirst NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date of Birth (Optional)

MonthDayYear
Daytime Phone*
E-mail*
Nationality (Ethiopian or Other)*
Please specify
The Recommendation
Please tell us how your nominee has made a significant contribution in the life of Ethiopians at large.

It is important that you give as much detail as possible about what your nominee has achieved which makes them stand out against others and make it clear if the achievement is in one area or in a number of different areas.
Please describe the benefits resulting from the nominee’s service to a particular field, area, group, community or humanity at large. • What has their impact been? • How wide is their influence? • What are their achievements?
Please state in few words the service for which you consider that the nominee should receive SEED’s adult year award.
Additional Supporting Documents

Upload File(s)
Please attach any additional documents (PDF, Word, etc.) that support your nomination. Cancelof
Nominating Person Information
By submitting this nomination, you declare that the information you have provided is – to the best of your knowledge – accurate and complete. Providing false information may lead to your nominee being removed from consideration for an honour.
Name*

PrefixFirst NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
Relationship to Nominee*
Should be Empty:

SEED Adult Award Nomination

Nominee Information

The Recommendation

Nominating Person Information