Workshop Leader Nomination Form
Nominate an individual to serve as a workshop leader by providing their details, qualifications, and your reasons for recommendation.
Nominee's Full Name
*
First Name
Last Name
Nominee's Email Address
*
example@example.com
Nominee's Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Nominee's Current Organization or Affiliation
Workshop Topic/Area for Nomination
*
Nominee's Relevant Experience
*
Why are you nominating this individual?
*
Nominator's Full Name
*
First Name
Last Name
Nominator's Email Address
*
example@example.com
Your relationship to the nominee
*
Please Select
Colleague
Supervisor/Manager
Peer
Student
Other
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