Please be sure to fill in all the information below. The fields marked with an asterisk (*) are required.
When ready to submit, press the “submit” button at the end of the form. After submitting please wait until the “submission successful” confirmation is displayed.
After doing so, please send a separate e-mail to firstname.lastname@example.org confirming that you have submitted a nomination through the website.
IMPORTANT: The following documents and additional information must be written in English.
Text documents can be in DOC, DOCX or PDF format. The maximum file size for a text attachment is 10MB. The photograph can be in TIFF, EPS, JPEG, PDF or BPM format and the maximum file size is 20MB. For phone, fax and mobile numbers, please use only numbers, no letters or other symbols.