Crosman Award

Nomination Submissions

The nominator’s statement of support should address all criteria under the individual awards as outlined. Nominator must submit the nomination form and attach all support statements, letters, and documentation, etc. required by the award’s criteria. For award eligibility and criteria refer back to the respective award page on the ILA webiste.

Nominee Information
Nominee Name	*
Nominee Organization
Nominee Address	*
Nominee City, ST, Zip	*
Nominee Phone	*
Nominee Email	*

Nominator Information
Name of Nominator	*
Nominator Organization
Nominator Address	*
Nominator City, ST, Zip	*
Nominator Phone	*
Nominator Email	*

This nominee meets the Eligibility (see Eligibility in the description above).		yes no
Attached support documents include all of the following information:		previous positions and dates memberships and offices in professional or related organizations publications honors received two professional references, including names, addresses, and phone numbers (can be attached separately) why nominee deserves the award (in 200 words or less)
Attach written statement of support based on the above criteria.
Two professional references: