AFGC 2020 Medallion Award Nomination

Nominee's Name *
Nominee's State Council Affiliation *
Nominee's Title *
Nominee's Mailing Address *
Nominee's Telephone *
Nominee's Email Address *
Nominee's Academic Degrees
Nominee's Employment History *
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Nominee's Prominent Honors, Awards, or Other Recognitions Received
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Please tell us why you feel this person is deserving of this award. *
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Nominee's involvement in professional society memberships and major activities *
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Nominee's Significant Publications
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Nominee's List of Major Contributions to AFGC *
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Please upload a bio for the Nominee in paragraph format. This will be used to recognize nominee.
Please upload a photograph of the Nominee
Nominator's Name *
Nominator's Telephone Number *
Nominator's Email Address *






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