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OCCD Annual Award Nomination Application

Only OCCD Members may be nominated. Please include the name, address, phone number and e-mail addresses of both the nominator and the nominee and the name of the award for which they are being nominated. Please include no more than a 500 word description of the nominee, which includes key reasons for why the individual, organization or project should receive the award as well as a digital photo to be used during the awards ceremony for publicity purposes. Also include two third party letters that support the nomination.

To review the OCCD Annual Award descriptions, please click here.

Please fill out your information below

Your Name:

This field is required

First Name: * This field is required

Last Name: * This field is required

Your Email: * This field is required

Your Organization * This field is required

Nominee Information

First Name: * This field is required

Last Name: * This field is required

Street: * This field is required

City: * This field is required

State: * This field is required

Zip: * This field is required

Phone:

Email:

Award Information

Please choose award * This field is required

Please upload description of the nominee, which includes key reasons for why the individual, organization or project should receive the award. * This field is required

Please upload your third-party letters of recommendation. * This field is required

Please upload digital photograph - jpg only. * This field is required

OCCD
P.O. Box 776
Urbana, Ohio 43078

Phone: (937) 652-3523
Fax: 1-866-728-4581
Email: office@occd.org

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