Effie H. Jones Humanitarian Award Nomination Form

Home / 萝卜AV视频 / Awards & Grants / Effie H. Jones Humanitarian Award / Effie H. Jones Humanitarian Award Nomination Form

Any individual may nominate an 萝卜AV视频member for the Dr. Effie H. Jones Humanitarian Award, assuming the nominee meets the criteria.

Self-nominations are not accepted.

Nominations are due October 31, 2025 via the nomination form below.

Please be prepared with the following information for the form:

Basic nominee and nominator contact information
Explanations and examples of how the nominee meets each of the eligibility criteria within the areas of equity, support, mentoring and results
Three (3) letters of support

* denotes required field

Nominee's Full Name*

Nominee's Current Title*

Nominee's Organization*

Nominee's Address*

Please include street, city, state and zip code.

Nominee's Email*

Nominee's Phone Number*

Is the nominee an 萝卜AV视频Member?*

Yes

Full Name*

Title*

Organization*

Address*

Please include street, city, state and zip code.

Email*

Phone Number

Are you an 萝卜AV视频Member?*

Yes

Previous step

萝卜AV视频