2024 Quantum Impact Courageous Leadership Awards Nomination Form
Nominate a leader who deserves to be recognized for their Quantum Impact in Education, Business, Community, and Society (Presented at the Q10 Conference December 13)
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Nominee First and Last Name

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Nominee Email address
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Nominee Cell number
Nominee Organization
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Nominee Title
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Name of Person Nominating
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Email of Person Nominating
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Cell Number of Person Nominating
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