Lifetime Achievement Award Nomination Form

Please use this form to submit your nomination for the 2024 Lifetime Achievement 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.

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!)

Nomination and Selection Guidelines

As a longtime Florida resident, the nominee must have made significant contributions to the space industry through technical achievement, education, or the management of aerospace related activities as a government, military, commercial or government contractor employee.
The nominee is either currently employed in continuous service for a substantial period, or has been retired from an active working career for more than a year since the most recently conferred Lifetime Achievement Award.
The nominee is either currently, or had previously been, an active public advocate for the space program.
The nominee may not have previously received either a Lifetime Achievement Award or a Debus Award from the NSCFL.

Your Name*
First Last
Your Company*
Your Email*
Your Phone Number*
Who are you nominating?*
First Last
Nominee Title
Nominee's Company
Nominee's Email*
Nominee's Phone Number*
Nominee's Address
Street Address Address Line 2 City State ZIP Code
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 describe the significant contributions your nominee made to the space industry in Florida through technical achievement, education, or the management of aerospace related activities.*
Please describe your nominee's activities as a public advocate of the space program throughout their career.*
If you could sum up this person's work history in one phrase, what would you say your nominee is "best known for?"*
Finally, please tell us as simply as possible why you think your nominee is deserving of this award.*

Lifetime Achievement Award Nomination Form

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