PRO TIPS: 

  • Please fill out the following form carefully and completely, noting all of the required fields. 
  • All email addresses must be in valid xx@xx.xx format. 
  • 16 MB limit on all file uploads.
  • Your nomination is only submitted once you have reached a screen with a green top bar saying “Thank you for taking this survey”. 
  • Files and supplemental materials may be emailed to awards@aami.org. 
  • Please direct any questions or support needs to awards@aami.org. 
 
Nominee Information:

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* 1. Name:

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* 2. Title:

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* 3. Company/Affiliation:

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* 4. Mailing Address:

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* 5. Phone Number:

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* 6. Email Address:

Nominator Information:

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* 7. Name:

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* 8. Title:

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* 9. Company/Affiliation:

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* 10. Mailing Address:

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* 11. Phone Number:

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* 12. Email Address:

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* 13. Please enter your name verifying this information is true to the best of your knowledge:

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* 14. Letter of Support #1

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* 15. Letter of Support #2

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* 16. Letter of Support #3

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* 17. CV/Resume

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