2023 Nominee Information

Thank you for nominating an individual for consideration as this year's Fernando Award Recipient. Has this individual accepted to be nominated? If yes, please check “yes,” below. If no, please stop and contact the Nominee to confirm their acceptance of the nomination.*

Yes

Nominee Name*

First

Last

Nominee Employer

If employed

About the Nominator

Are you nominating as an individual (yourself) are as an organization?

Individual

Organization

Your Name*

First

Last

Your Email Address*

will not be disclosed

Your Phone Number:*

will not be disclosed

Name of Organization Nominating:*

Organization Contact Name

First

Last

will not be disclosed

Organization Contact Email Address*

will not be disclosed

Organization Contact Phone:*

will not be disclosed

Please note that every nominee must have two nominators. Nominators can be two individuals, two organizations OR one individual and one organization. Only two nominations can be accepted for each nominee.

Tell us why you or your organization believes this nominee is deserving to be this year's Fernando Award Recipient*

(Maximum of 750 characters)

Attestation

By checking this box, I hereby attest that all information provided on this form is accurate and true

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Typing in these characters helps us prevent unauthorized use of this online nomination form. Thank you.

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