Individual of the Year Nomination

Thank you for taking time to recognize a hard working and resourceful Individual!

NOMINATE AN INDIVIDUAL

Award Category

Nominee Name

System Name

Mailing Address

City

State

Zip / Postal Code

System Manager or Group Leader

System Manager or Group Leader Phone

System Manager or Group Leader Email

Nominator Name

Nominator Contact Phone

Nominator Contact Email

Overview of Accomplishments

In 500 words or less, list the achievements of the system or workgroup, outstanding accomplishments, and/or impactful responses to challenging situations.

Additional Information

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