* Name of Nominee

* Your Name

Your Work Phone

* Your E-mail Address

Please list names of colleagues who would be willing and able to write supporting letters upon the request of the committee or upload letters of support with your nomination. Self-nominators please contact your colleagues prior to submitting their names about the need of the letter.

* 1. Name

* Official Title

* Institution

* E-mail Address

* 2. Name

* Official Title

* Institution

* E-mail Address

* 3. Name

* Official Title

* Institution

* E-mail Address

All online nominations must be accompanied by supporting evidence sufficiently detailed for the committee to render a decision (e.g., a resume; media accounts of activist activities inspired by the nominee's scholarly efforts; testimonials from grassroots organizations or advocacy agencies; or additional supporting description of the nominee’s work demonstrating that the contributions meet the criteria for nomination). We request that all information be included in a single document. Please use the "Upload a file" section below to upload your supporting documentation.

Upload a file:
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