Award Nomination

Please enter nomination information below and click "Submit" ...
Salutation, First Name, Last Name, Credentials
Is the nominee a current member of NuXi at large?
How can this person be contacted? (Please include any known addresses, phone numbers, email addresses, etc.):
Please choose a category.
Describe the contributions of the candidate related to the selected category:
Describe the impact or significance of the contribution:
Describe why you believe this candidate should receive this award:
Salutation, First Name, Last Name, Credentials
Please describe your relationship to this nominee (ie - how long and in what capacity you have worked with this candidate) :
Tell us how we can contact you (Please include any known addresses, phone numbers, email addresses, etc.):