Please complete this form to submit your nomination. Include any relevant attachments or links.
Please note if selected, a photograph of the nominee will be required. Please refer to the awards policy for more information about use of the photo.
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*Select which award this nomination is for:
---LeadershipMentoring & CoachingAllyInnovation
*Name of Nominator:
*Nominator Phone Number:
*Agency Approving Nomination:
*Senior Officer Approving Nomination:
*Nominee Phone Number:
Please attach a document with a Nominee Bio and Nomination Details. Nominee Bio is a brief personal summary about the nominee (max 250 words). Nomination Details include details regarding the situation, the nominee's involvement, and the outcome (max 750 words).
*Attachments (supported file types: pdf, png, jpg):
*Please confirm the following:
I confirm the information I have provided is true and accurate to the best of my ability.
I confirm I have consent from the nominee to submit this form and the details included for award consideration.
I confirm the disclosure of this information will not affect an ongoing, current investigation, criminal trial or the privacy of those involved.