McCartney Award Nomination Form - National Space Club Florida Committee

Your Name*

First Last

Your Company/Org and Rank (if applicable)*

Your Email*

Your Phone Number*

Who are you nominating?*

First Last

Nominee Title and Rank (if applicable)*

Nominee's Company/Org*

Nominee's Email*

Nominee's Phone Number*

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. (Think resume)*

Describe the nominee’s specific accomplishments and how they significantly contributed to the success of the defense of our nation in a space-related area in Florida.*

Finally, please tell us as simply as possible why you think your nominee is deserving of this award.*