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Annual Awards Nomination Form


Each Chapter may submit ONE nominee per category, per year. Nominations should be submitted by the Commanding Officer, Executive Officer (First Officer) or Zone Coordinator. Nominations MUST be submitted on this form or they will not be accepted. Nominations for the Annual Awards will be accepted from January 1st 2015 through January 31st 2016.

NO NOMINATIONS WILL BE ACCEPTED AFTER JANUARY 31st.

Be sure to put in the security challenge information in correctly.  If you do not see the thank you message after you submit your award it did not get submitted.

*Required information.
Date
Submitted by: * Your Name
Email * Your Email address
Region Your Region
Nominee Name: The Nominees Name
Nominee Rank: The Nominees Rank:
Nominee Chapter: The Nominees Chapter:
Nominee SCC#: The Nominees SCC#:
Expiration Date: Nominees membership expiration date.
Award Requested Select the Award you are requesting
Basis for recommendation: (750 Words or Less) Basis for recommendation:(750 Words or Less)