To enter a nomination for review by the Meritorious Service Award Committee, please complete the following information as thoroughly as possible for submission to Claudia Williams, Committee Chair. If you have questions regarding the award or this form, please contact one of the committee members listed on the introduction page. A printable form is available at meritaward.html if you prefer. Nominations must be submitted by April 15 of even numbered years. Thank you for your participation!

Name of Nominee (required):    

Address of Nominee (required):

Nomination made by (required):

Email of Nominator (required):

Brief Personal History of Nominee:

Narrative of why you have chosen this nominee: