CSI Awards Nomination Form
Thank you for your interest in our awards program! Please complete the following form and upload all supporting information to complete the nomination. Remember: nominees must be CSI members. Materials sent to awards.csi.wm@gmail.com will not be considered without the successful completion of this form.

The awards nomination deadline is Friday, October 21st @ 5 pm EST; the form will close at this time. No late submissions will be considered. Nominees and nominators will be notified of the awards committee's decision by Wednesday, November 9th.

To read more about the awards and their criteria, please visit our website.  

If you have any questions, please contact awards.csi.wm@gmail.com. Good luck!
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What is your name? (First and last name) *
What is your email address? *
To which award are you applying? *
Who are you nominating? (Write "myself" or the name of the individual) *
What is their email address? (write "myself" if not nominating someone else) *
What program are/were they in? *
If you're applying for the Outstanding Practitioner Award, where is the nominee currently practicing?
CHECKLIST: Please check the box for every PDF item you have attached to the email to complete this nomination.

DO NOT INCLUDE THE NOMINEE OR NOMINATOR'S NAMES IN THE SUBJECT LINE
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