Literary Contribution Award Nomination Form
Submit your nomination for outstanding literary contributions by providing detailed information about the nominee and their work.
Nominator's Full Name
*
First Name
Last Name
Nominator's Email Address
*
example@example.com
Nominator's Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Nominee's Full Name
*
First Name
Last Name
Nominee's Affiliation or Organization (if applicable)
Nominee's Email Address
example@example.com
Title of the Nominated Literary Work
*
Type of Literary Work
*
Please Select
Novel
Poetry
Short Story
Essay
Drama/Play
Non-fiction
Other
Publication Details (Publisher, Year, ISBN if applicable)
Summary of the Literary Work (max 300 words)
*
Justification for Nomination (Describe the impact and significance of the nominee's contribution, max 400 words)
*
Upload Sample of the Literary Work or Supporting Documents (PDF, DOC, or image files)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
References or Recommenders (Name and Contact Information)
Date of Nomination
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Nomination
Should be Empty: