2019 Henry Viscardi Achievement Awards

 

Please complete and submit this nomination form no later than September 16, 2019 at 5:00 p.m. ET. Late, faxed or mailed submissions will not be accepted. Please note the designated word limits for the essay responses as only the designated amount of words will be considered.


If you have additional questions, contact Emily Demarest at info@viscardicenter.org or 516.465.1548.


By submitting an application for these Awards, applicants authorize and approve the use of their name, nomination content, expressions and likeness in marketing, public relations and outreach efforts associated with the Awards program.

 

Award Nominee Information

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(Maximum response 255 chars, approx. 5 rows of text)

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Nominator Information (if not the Award nominee)

 

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* Please let us know how you heard about the Henry Viscardi Achievement Awards:
(Select one of the available choices or enter a different value.)



 

Essay Questions

These questions may be answered by the individual being nominated or the person submitting the nomination for the Award.

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If you would like to submit supporting documentation, i.e. letter of recommendation, video, please email them to info@viscardicenter.org. Please include HVAA as the subject line and include the nominee’s name as well as the date the nomination application was submitted in the body of your email.

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