Award Application Form

Nominee Information

Fall Awards

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How did you hear about this award?

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For correspondence, please complete the following:

Nominator Information:

(If nominating yourself, please write "self-nominated" in the Name field)

Please verify with the award instructions what needs to be submitted and submit all files.  References or imformation provided by others may be emailed to awards@emra.org.

You can upload multtiple files by holding down the CTRL key (Command key on Mac) while selecting files.