Kolcum Award Nomination Form

Please use this form to submit your nomination for the 2024 Kolcum Award. Note that the fields with a red asterisk are required. The first few fields ask for your contact information so we can reach you if we have a question. The other fields pertain to the person you want to nominate. Please provide as much of the requested information as is appropriate to your nominee’s present status.

And remember, neither you nor your nominee are required to be members of the National Space Club Florida Committee. (And if you’re not a member, why not JOIN NOW!)

Your Name*
First Last
Your Company*
Your Email*
Your Phone Number*
Who are you nominating?*
First Last
Nominee Title*
Nominee's Company*
Nominee's Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Nominee's Email*
Nominee's Phone Number*
Is the nominee either a professional member of the news media who regularly covers launch and space operations in Florida or a communications professional representing a corporate, government or military entity involved with launch or mission operations in Florida (current or past)?*
- News Media
- Communications Professional
Tell us about your nominee's work history. We're looking for strictly biographical information here about your nominee: company/entity, positions held, when and where, etc.*
Please tell us how your nominee has excelled at facilitating and/or communicating the space story to the general public in a consistent manner deserving of recognition. What are their career highlights? List any awards they have won.*
Finally, please tell us as simply as possible why you think your nominee is deserving of this award.*

Kolcum Award Nomination Form

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