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Distinguished Service, Leadership and Individual Contribution Award Nomination Form

"*" indicates required fields

Please indicate which award this nomination is for:*

Distinguished Service Award

Leadership Award

Individual Contribution Award

Nomination submitted by:

Name*

First Last

Title*

Employer (TAC member organization)*

Telephone*

Email*

About the nominee:

Name*

First Last

Title*

Employer (TAC member organization)*

Telephone*

Email*

Nomination details:

Description of accomplishments and contributions*

Accepted file types: pdf, doc, docx, Max. file size: 50 MB.

See award profile for requirements and criteria (500 words maximum - pdf, doc or docx)

Nominee CV - Distinguished Service Award only

Accepted file types: pdf, doc, docx, Max. file size: 50 MB.

pdf, doc or docx

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