Space Educator Award Nomination Form

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"*" indicates required fields

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*

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)*

Please describe the significant "above & beyond" contribution(s) your nominee made to the space industry through technical, educational, or leadership activities during the past 1-2 years.*

Please describe your nominee's activities as a public advocate of the space program, if any. (This is not required but any activity will reflect favorably on the nominee.)

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