2017 Federal 100 Nominations

Please tell us about your Fed 100 nominee

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* 1. Nominee Name, Title and Contact Info

Rank or Courtesy Title

First Name

Middle Initial

Last Name

Job Title

Email Address

Phone Number

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* 2. Gender

Male

Female

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* 3. Employer

Agency, Company or Group:

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* 4. Employment Sector

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* 5. Describe this person's job, and the work for which he or she is being nominated.

(Please limit response to 1,200 characters, including spaces.)

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* 6. What impact did this work have? How did the nominee go above and beyond to make a difference?

(Please limit response to 1,200 characters, including spaces.)

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* 7. If needed, provide any additional background information to support this nomination.

(Please limit response to 1,200 characters, including spaces.)

Nominator Details

Our judges pay careful attention to who is vouching for a Fed 100 nominee. Please carefully complete the fields below. Note that up to five supporting nominators are allowed. Please be sure that all supporting nominators know they are being included!

Note: When this nomination is submitted, a confirmation will be sent to the primary nominator's email address.

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* 8. Information about you, the primary nominator

Full Name

Job Title

Agency, Company or Organization

Email Address

Phone Number

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* 9. Other supporting nominators

Supporting Nominator #1:

Full Name

Job Title

Employer

Email Address

Supporting Nominator #2:

Full Name

Job Title

Employer

Email Address

Supporting Nominator #3:

Full Name

Job Title

Employer

Email Address

Supporting Nominator #4:

Full Name

Job Title

Employer

Email Address

Supporting Nominator #5:

Full Name

Job Title

Employer

Email Address

Questions?

Additional information on what makes for a strong nomination can be found on FCW.com. If you have questions about the nomination process, please contact Troy K. Schneider at tschneider@1105media.com.

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* 1. Nominee Name, Title and Contact Info

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* 2. Gender

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* 3. Employer

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* 4. Employment Sector

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* 5. Describe this person's job, and the work for which he or she is being nominated.(Please limit response to 1,200 characters, including spaces.)

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* 6. What impact did this work have? How did the nominee go above and beyond to make a difference?(Please limit response to 1,200 characters, including spaces.)

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* 7. If needed, provide any additional background information to support this nomination.(Please limit response to 1,200 characters, including spaces.)

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* 8. Information about you, the primary nominator

Question Title

* 9. Other supporting nominators

* 5. Describe this person's job, and the work for which he or she is being nominated.

(Please limit response to 1,200 characters, including spaces.)

* 6. What impact did this work have? How did the nominee go above and beyond to make a difference?

(Please limit response to 1,200 characters, including spaces.)

* 7. If needed, provide any additional background information to support this nomination.

(Please limit response to 1,200 characters, including spaces.)