2023 FDLI Distinguished Service and Leadership Awards

Your Name *

First

Last

Your Title *

Your Organization *

Your Email *

Phone *

Self Nomination?

This is a self-nomination. Please skip Nominee Information below.

Nominee Information

Questions

Describe how the nominee has contributed to the field of food and drug law. Emphasis should be placed on how the nominee has impacted the larger community, not simply his or her practice or profession. Consideration will be given to volunteerism, community building, significant contributions to the field, and mentorship. *

Share a particular story or event that best exemplifies why you think the nominee deserves this award: *

Award presentations at the Annual Conference include prerecorded remarks by the nominator as well as, when appropriate, additional colleagues who can speak to the awardees attributes and contributions. As a nominator, are you willing to participate in a pre-recorded awards presentation? *

Please provide names of additional individuals who you recommend also participate in a pre-recorded awards presentation.

Additional comments for selection committee consideration: (optional)

Questions?
Please contact Tess Garraty at [email protected] or 202-222-0899.

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