Fellow Nomination Form

1. Nominator

Name(Required)
Address(Required)
Nominators must agree to respond to any requests for clarification from the selection committee.

2. Fellows Candidate Nominee

Nominee Name(Required)
Nominee Address

3. Additional Documentation

(OPTIONAL) You may submit additional documentation with your nominee submission.
Accepted file types: doc, docx, txt, rtf, pdf, Max. file size: 2 MB.
Accepted file types: doc, docx, txt, rtf, pdf, Max. file size: 2 MB.
Drop files here or
Accepted file types: doc, docx, txt, rtf, pdf, Max. file size: 7 MB, Max. files: 5.
    Accepted file types: doc, docx, txt, rtf, pdf, png, jpg, jpeg, gif, Max. file size: 2 MB.

    Additional Information

    Please limit to 25 words, or fewer.
    Please summarize the candidate's primary contribution for which they are being nominated, and please limit to 25 words, or fewer.
    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.
    Please explain why the candidate meets the Museum’s selection criteria for the Fellow Award. The guideline for this section is 500 to 1500 words

    Please contact nominations@computerhistory.org if you are having trouble submitting your nomination.

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