Subject: [NEXTEL-1] Federal 100 electronic nomination form

From: [email-masked]
Date: Mon, 02 Dec 2002 12:23:44 -0500

No Timmy, you can't  pay someone to nominate you!
http://www.fcw.com/forms/fed100/2003-fed100-netscape.asp

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Federal 100 electronic nomination form

Printing? Use this version.

Please fill in the form below to nominate an individual for a 2003 Federal 100 award. Awards will be based on achievements occurring in 2002. The deadline for nominations is Jan. 3, 2003.

The Federal 100 recognizes individuals from government, industry and academia who significantly influenced how the federal government used, bought or managed information technology in the previous year. Federal 100 winners are recognized for their risk-taking, vision and pioneering spirit in the federal IT community.

A panel of judges will choose the winners using the following set of guidelines. Click here to browse the 2002 Federal 100 winners.

Judges also will choose from the list of winners an individual from a government agency to receive the Monticello Award, which recognizes an information system that directly improved the welfare of Americans. Read about the 2002 and 2001 Monticello Award winners. To nominate a project, click here or on Monticello Award link that will appear after you submit your Federal 100 nomination.

If you have any questions, please contact Molly Ferrara at 703-876-5141 or e-mail at [email-masked]

Blue type designates required fields.

You must use Internet Explorer 4.0 or Netscape 4.5 or greater to submit the nomination or nominations.

Nominee Information

Title

First Name

Middle Initial

Last Name

Job Title

Gender

Male
Female

Employer

Defense

Select one
Army
Army Civilian
Navy
Navy Civilian
Air Force
Air Force Civilian
Marine
Marine Civilian
Other DOD
DOD Headquarters
DISA
DLA

Civilian Agency

Select one
AID
Agriculture
Commerce
Census
NOAA
NIST
PTO
Education
Energy
EPA
FEMA
HHS
CDC
FDA
NIH
HUD
FSS
FTS
Interior
BIA
BLM
USGS
Justice
DEA
FBI
INS
Labor
NASA
NARA
Postal Service
SBA
SEC
SSA
State
Transportation
FAA
TSA
Treasury
BATF
Customs
IRS
Mint
Veterans Affairs
VBA
VHA

Other Federal agency

State/Local Government

Select one
State

Please specify

Industry
Company name

Academia
School name

Address

Address (cont.)

City, State, Zip Code
,

Phone

E-Mail

Nominator information

Name

Job Title

Phone Number

E-Mail:

Agency/Company

Other supporting nominators:

Name

Job Title

Phone or E-Mail

Agency/Company

Name

Job Title

Phone or E-Mail

Agency/Company

Name

Job Title

Phone or E-Mail

Agency/Company

Name

Job Title

Phone or E-Mail

Agency/Company

Name

Job Title

Phone or E-Mail

Agency/Company

Reason for nomination (Limit to 500 words)

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