Reg Weaver Human and Civil Rights Award Nomination Form

"*" indicates required fields

All nominations must be submitted by December 15, 2023.

Criteria

An individual IEA-NEA member or an IEA-NEA group may be nominated for this award.

Award Recipient

The recipient of the Reg Weaver Human and Civil Rights Award shall be chosen by the IEANEA Human and Civil Rights Committee.

Recognition

The award will be presented in the spring at the annual IEA Representative Assembly.

Nominator Details

Nominator*

First Last

Nominator's Address*

Street Address City State ZIP Code

Email*

Phone*

Local Association/Chapter*

I Would Like To Nominate

Nominee*

First Last

Nominee Address*

Street Address City State ZIP Code

Nominee Email*

Nominee Phone*

Local Association President*

Local Association*

IEA Region*

Local Association President

Please list your local association president and one other association member who may be contacted if further information is needed.

Your Local Association President

First Last

Phone*

Email*

Other Association Member

First Last

Phone*

Email*

Nomination Statement

A concise introduction as to why this nomination was made. Include how this nominee has demonstrated service to the community or mankind.*

Supporting Documentation*

No more than five (5) pieces of supporting documentation, such as: news articles, pictures, certificates, etc.

Drop files here or

Accepted file types: doc, docx, pdf, pages, jpg, png, Max. file size: 5 MB, Max. files: 5.

Letter of Recommendation*

Two (2) letters of recommendation from sources other than the nominator.

Drop files here or

Accepted file types: doc, docx, pdf, pages, Max. file size: 5 MB, Max. files: 2.

Phone

This field is for validation purposes and should be left unchanged.

Events Calendar

Events Calendar