NOMINEE (required):

Has your nominee been informed of this nomination (required):
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NOMINATOR (required):

CFPC MEMBERSHIP # (if applicable):

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If you need to include documents instead of completing the sections below, please attach them below and reference it in its respective section.

Please state the reasons for your nomination:

Please enclose a brief summary, biography or résumé about your candidate:

Please provide evidence of your candidate’s outstanding contributions relevant to the description of this award in the form of descriptive materials, testimonials, and/or other documentation:

Letters of support from colleagues and the public may be included:

If applicable, attach any documents below: