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Crystal Crucible Award Nomination

Please complete the following nomination form and any supporting documentation by June 1.

Fields marked with an (*) are required.

Your Name(*)
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Address(*)
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City(*)
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Zip(*)
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Phone(*)
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Email(*)
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Section B: Nominee

Full Name(*)
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Job Title(*)
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Employer(*)
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Phone(*)
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Address(*)
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City(*)
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State(*)
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Zip(*)
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Supporting Materials

Please list the candidate's years of experience in the field, involvement in KWEA and/or the Laboratory Committee, and involvement in promoting the professionalism of the field and membership in WEF.

If preferred, you may upload supporting materials at the bottom of this page.

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Supporting Materials
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Supporting Materials
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