2017 Federal 100 Nominations Please tell us about your Fed 100 nominee Question Title * 1. Nominee Name, Title and Contact Info Rank or Courtesy Title First Name Middle Initial Last Name Job Title Email Address Phone Number Question Title * 2. Gender Male Female Question Title * 3. Employer Agency, Company or Group: Question Title * 4. Employment Sector Academia Civilian Agency Defense: Civilian Employee Defense: Military Personnel Industry/Corporate Intelligence Community Legislative Branch Judicial Branch Non-Profit State/Local Government Question Title * 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.) Question Title * 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.) Question Title * 7. If needed, provide any additional background information to support this nomination.(Please limit response to 1,200 characters, including spaces.) Nominator DetailsOur 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. Question Title * 8. Information about you, the primary nominator Full Name Job Title Agency, Company or Organization Email Address Phone Number Question Title * 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. Done
