Awards Nomination Form

Deadline for submission is April 1, 2020.

Update: Due to the current situation surrounding COVID-19, we have extended our nomination deadline to June 1, 2020.

Complete the form below to nominate someone for one of our awards. We may contact you for additional information. For a description of our Awards, please visit the Awards page. If you have questions, please email or call (607.962.9473).

Award Selection*
Please enter the name of the person you are nominating (including maiden name if appropriate).
Please identify your nominee's achievements in the following areas. It is important to be as detailed as possible. The information you provide will be rated by a committee and compared to other nominations. All areas must be completed. If you are not familiar with his/her achievements in any of the areas listed, indicate N/A.