CSEB Award Nomination Form


Deadline to Submit: Thursday, April 13th, 2017

Click here for descriptions and more information

Award Selection *

Nominee Information

Please complete the following information about the individual you are nominating. 

Full Name *

Title/Position *

Primary Affiliation *

Secondary Affiliation

Full Address *

Email Address *

Telephone Number *

Cover Letter in Support of the Nominee

Please include a cover letter explaining the achievements of the nominee and why you think the nominee is deserving of the award.

Enter the information directly into the field or copy and paste it from another source. Certain web-based special characters such as HTML tags may also cause unpredictable results in your text.

Cover Letter in Support of the Nominee

If you prefer to upload a document outlining the achievements of the nominee, please do so here. 

Nominator Information

Please complete the following information about yourself (the nominator). 

First Name *

Last Name *

Title/Position *

Primary Affiliation *

Secondary Affiliation

Full Address *

Email Address *

Telephone Number *



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