Susan Halsey Award Application

May 10, 2021 – Deadline for Nomination

Nominator Information

Candidate Information

Limited to 500 words. If you would like to upload a full Bio or CV instead, then use the upload box below and type in See Attached in this text box
Click or drag a file to this area to upload.
Accepted file types: doc, docx, pdf
Click or drag a file to this area to upload.
Accepted file types: jpg, png, pdf

Candidate's Award Qualifications

Describe how the nominee used innovation to accelerate growth within the organization.
Describe how the nominee inspired others within the organization by creating a vision and fostering a team environment.
Describe how the nominee helped the community engagement of the organization by increasing diversity, environmental impact or overall support within the community.

Endorsement Letters

Please be sure to also upload a Letter of Endorsement below
Click or drag files to this area to upload. You can upload up to 4 files.
Accepted file types: doc, docx, pdf.
8 MB max file size for each file
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