Frances Mullen Award » Frances Mullen Award Nominations Form

To submit a nomination for the Frances Mullen Award you will need:

Nominator contact information
Nominee contact information
Nominee CV or bio sketch
Cover letter indicating how the nominee meets the award criteria

Nominator Information

Your First Name *

Your Last Name *

Your Email *

Institution

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Your Phone Number (with country code) *

Nominee Information

Please duplicate nominator information if self-nomination

Nominee First Name *

Nominee Last Name *

Nominee Email *

Nominee Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Nominee Phone Number (with country code) *

Please Upload the Nominee's CV (PDF or Word Doc) *

Click or drag a file to this area to upload.

Upload Cover Letter *

Click or drag files to this area to upload. You can upload up to 2 files.

Please provide a cover letter indicating how the nominee fits the criteria for the award (Maximum 500 words, PDF or Word Doc)

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