Award Committee Form

Award:
Eligibility
Awarded by:
Past Recipients:
Submission procedures:
Deadline date:

Award Nomination Submission Form
Award:
Nominee:
Suggested by:
Date:
One to three sentence description of nominee’s actions (your synopsis may be inscribed on the award).

One paragraph description of the nominee and the nominee’s actions to incorporate as many qualifications in the award description as possible. Show why this person or team fits this particular award. Attach supporting documents such as resumes, newspaper clippings, testimonials, etc. Provide the committee with enough information to properly evaluate your submission.
Complete contact information of nominee, if living, and of descendents if this is to be a posthumous award. Your contact information. Submit this form with attachments to Awards Committee, PIA Headquarters, 3833 West Oakton Avenue, Skokie, IL 60076 USA Fax: 847-674-9742; hq@pia.com Note: for the names of current Awards Committee members, see http://www.pia.com