Individual Nomination

Individual Award Nomination Form

Click here for Individual WoSAwards criteria

Select the relevant award category (if applicable)

Nominee Information

Nominee Name
Nominee Name
First Name
Last Name
Nominee Address
Nominee Address
City
State/Province
Zip/Postal

Nominator Information

Name
Name
First Name
Last Name
Address
Address
City
State/Province
Zip/Postal
Country

Additional Information/Supporting Documents

0 of 500 max words
A brief description of the nominee's achievements and qualifications (usually 200 - 500 words)
0 of 50 max words
A short biography of the nominee (50 words)
Any other relevant details about the nominee's work, projects, or initiatives.