Nomination Form

Please fill out this form to nominate someone for a CCBO award. Nominations are due by July 24, 2022. To save and continue later, click the SAVE & CONTINUE link at the bottom of the form, and follow the prompt to enter your email. You will receive an email message with a link to complete your nomination.

"*" indicates required fields

Select an Award Category*

Nominee Information

Nominee Name*

First Last

Nominee Professional Title*

Nominee Institution*

Nominee Email*

Nominator Information

Nominator Name*

First Last

Nominator Institution*

Nominator Email*

Nominator Phone*

Nomination Statement*

Please provide a brief statement supporting your nomination. You may include examples of why the person qualifies for an award. If you are creating your own award category, please include that information.

Nomination Acknowledgement*

I hereby nominate the above nominee to be the recipient of a CCBO Award. I hereby certify that, to the best of my knowledge, the statements and calculations contained herein accurately reflect the circumstances reported.

I agree to the nomination statement above.

Supporting Documents (Optional)

Please upload supporting documents that support the nominating criteria for the chosen category. This section is optional.

Supporting Document 1

Accepted file types: jpg, pdf, png, Max. file size: 256 MB.

Supporting Document 2

Accepted file types: jpg, pdf, png, Max. file size: 256 MB.

Supporting Document 3

Accepted file types: jpg, pdf, png, Max. file size: 256 MB.

Submit

Click the button below to complete your nomination.