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AFSA AWARDS NOMINATION FORM
Name of award for which the person is being nominated:
Nominee Information  
Nominee's name
Nominee's grade
Nominee's agency
Nominee's position
Family relationship (for Avis Bohlen Award only)
Nominee's e-mail
Phone number
Fax
Address
Nominator Information  
Nominator's name
Nominator's grade
Nominator's agency
Nominator's position
Nominator's association with the nominee

(Note: Family members may not submit a nomination for the Bohlen Award.)

Nominator's e-mail
Phone number
Fax
Address
Please discuss, in 700 words or less, the actions and qualities which qualify the nominee for this award. Please give specific examples of accomplishments that fulfill the criteria of the award, as listed below. Submissions that do not meet the criteria as stated will not be considered.

 

 

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