2008-09 NCLI Nomination

In order to make a nomination you will need to complete the form below and use the browse button at the end of this form to submit your nomination letter in MS Word (.doc), rich text format (.rtf), or Adobe Acrobat (.pdf).

Nominations are only accepted from the applicant's CEO or agency director.

If you have any questions, please call Sally Ann Hardy at (304) 876-7797 between 8:30 and 4:30 eastern time.

NCLI Nomination Form

Nominator's First Name

Nominator's Last Name

Nominator's Email Address

Nominator's Phone Number

Nominator's Organization

Nominator's Title

Nominee's First Name

Nominee's Last Name

Nominee's Email Address (if known)

The nominator may prioritize their nominations if making two nominations. Please indicate if there is a priority for this nomination:

Please Select the Nomination Priority

CEO or Agency Director Confirmation

I Confirm that I am the CEO or Agency Director of the Nominee's Organization

Nomination Letter

Please attach your nomination letter in MS Word (.doc), Rich Text Format (.rtf), or Adobe Acrobat (.pdf). Please name the file using the following convention: nominee's lastname-firstname_organization_nomination (doe-john_AFWA_nomination.doc).

Notes or comments