EmailMe Form - ASPMN Humanitarian Award

Name of Nominee *

First Last

Academic/Professional Credentials *

Title *

Employer *

Phone *

### - ### - ####

Email *

Nominee is a current ASPMN member. *

Yes

No

ASPMN Involvement: *

List Board and committee involvement.

If not addressed in the letter of recommendation, please describe the nominee's commitment to the betterment of the world community through volunteer service. Please include a description of the voluntary humanitarian activity, the date(s) and the approximate number of hours, specifying if the hours are per week, per month, or for a one-time event. Please also include an explanation of how the project influenced the lives of those served. *

Letter of Recommendation *

Letters of recommendation should not exceed two pages.

Attach a letter of verification from the organization that describes the project and the compassion and dedication that the nominee showed to the project. *

Attach a statement from the nominee describing how the service they provided impacted their career. *

Nominee's current CV *

Nominated by: *

First Last

Phone *

### - ### - ####

Email *