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Honorary Life Nomination

T o the Nominator: Thank you for taking on an important task in the life of HMA. As the Nominator of someone for the Honorary Life Award, you may be contacted by someone from the Honorary Life Committee with request(s) for additional supportive information to assist the committee in its work. Although secrecy is not always easy, we hope that the presentation of any awards emanating from this process will be a complete surprise to the recipient(s). Presumably, you are nominating someone whom you know quite well so that providing the necessary documentation to justify the award to your nominee is well within your ability. You are free to seek assistance from others (e.g., family, close friends, et al.) should that be helpful or necessary. For reasons of confidentiality, all documents submitted will be destroyed at the conclusion of the nomination process, so please send no original documents of any kind unless there are other copies in existence (e. g., resumes, curriculum vitae, etc.). Only one copy of each item need be sent – the Honorary Life Committee Chair will provide working copies to the rest of the Committee.

Your Information

Your Name(Required)
Your Address(Required)

Nominee Information

Nominee Name(Required)
Nominee Address(Required)
For each entry, please indicate what documentary evidence you are providing.
For each entry, please indicate what documentary evidence you are providing.
For each entry, please indicate what documentary evidence you are providing.
Nomination forms and all supportive material must be received by Dec. 1, 2025. All material submitted will be destroyed at the conclusion of this Honorary Life Committee’s activity. Although material may be forwarded at any time prior to the Dec. 1, 2025 deadline, please include as many supporting documents as possible with this nomination form.
Drop files here or
Max. file size: 50 MB, Max. files: 10.