2022 ICANN Community Excellence Award: Nomination Form
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Nomination Form Instructions:
Please fill in all required fields to submit a nomination for the 2022 ICANN Community Excellence Award Process. If you wish to nominate multiple ICANN community members, please fill in a form for each nominee. Nominations should include all necessary information against the award criteria for the community panel to understand why the nominee should be selected as this year's recipient. Please provide information that pertains to ICANN activities only. Information regarding non-ICANN activities and self-nominations will not be considered.

Please submit any further documentation in support of your nomination or any questions about the nomination process to excellenceaward2022@icann.org.

Nominations close 21 March 2022.
Privacy:
By submitting my personal data, I agree that my personal data will be processed in accordance with the ICANN Privacy Policy (https://www.icann.org/privacy/policy) and ICANN Cookies Policy (https://www.icann.org/privacy/cookies), and agree to abide by the electronic Terms of Service (https://www.icann.org/privacy/tos).
Award Overview:
Nominator Information:
Your Name (Nominator): *
Your Email Address: *
Community of Nominator/Person Completing Form: *
If "Other", Please Specify:
Nominee Information:
Name of Nominee: *
Community of Nominee: *
If "Other" Please Specify:
Please Review the 2022 ICANN Community Excellence Award Criteria:
Please explain how the nominee meets the award criteria # 1: *
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Please explain how the nominee meets the award criteria # 2: *
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Please explain how the nominee meets the award criteria # 3: *
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Please provide any further information in support of your nomination for panelists to review during the deliberation process as appropriate:
If called upon, would you be willing to discuss your nomination with panelists during the selection process via a conference call? *
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