Home About Awards Silicon Valley Laureate

Silicon Valley Laureate Award Nomination Form

Instructions for Submitting a Silicon Valley Laureate Award Nomination

Thank you for considering a nomination for the CHM Silicon Valley Laureate Awards. To ensure a complete and accurate submission, please carefully follow the steps listed below:

Review the selection criteria on the Silicon Valley Laureate Award page.
Gather information including any supporting documentation you may opt to include.
Submit the nomination by completing the form below.

Multiple Nominations
If you are nominating a group of co-contributors, please submit a separate nomination form for each nominee.

Deadline for Submission
Now accepting nominations for the 2027 Silicon Valley Laureate Awards.

Silicon Valley Laureate Nomination Form

1. Nominator

Name(Required)

First Last

Email(Required)

Phone

Information About You (OPTIONAL)

Please feel free to share any information about you, your background, title and/or organization, and any connection to your nominee.

Nominators must agree to respond to any requests for clarification from the selection committee.

2. Silicon Valley Laureate Candidate Nominee

Nominee Name(Required)

First Last

Nominee Title

Nominee Company

Nominee Email (If Known)

Nominee Phone (If Known)

Contact (If Known)

Enter the name of an admin assistant or other person who may help us contact the nominee.

Contact Phone

Contact Email

3. Reason for Nomination

Please explain why the candidate meets the Museum’s selection criteria.(Required)

Nominator Relationship to Nominee

Please limit to 25 words, or fewer.

This field is hidden when viewing the form

5. Theme of Principal Contribution

Please summarize the candidate's primary contribution for which they are being nominated, and please limit to 25 words, or fewer.

This field is hidden when viewing the form

6. Impact of Principal Contribution

Please summarize the ultimate impact of the candidate's primary contribution for which they are being nominated, and please limit to 50 words, or fewer.

Additional Documentation (Optional)

Brief Bio of Nominee

Additional Documents

Accepted file types: doc, docx, txt, rtf, pdf, png, jpg, jpeg, gif, Max. file size: 2 MB.

Please contact [email protected] if you are having trouble submitting your nomination.