To submit a nomination for the Fukuhara 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

Nominee Information

Please duplicate nominator information if self-nomination


Click or drag a file to this area to upload.


Click or drag a file to this area to upload.

Please provide a cover letter indicating how the nominee fits the criteria for the award.


Click or drag a file to this area to upload.

You may include an additional letter of endorsement (optional) indicating how the nominee meets the award criteria