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ATSIP Emeritus Member Nomination Form

"*" indicates required fields

Please add the name of the individual you are nominating for this award.
Please include a resume to support the nomination.
Accepted file types: pdf, Max. file size: 12 MB.
Please provide an introduction about the nominee summarizing his/her candidacy.
Please provide examples of contributions the nominee has made to ATSIP.
Please provide examples of contributions the nominee has made to the traffic records community.
Please provide any other information that may support the candidacy of the nominee. Fellow Emeritus, full Member Emeritus, or Associate Emeritus as appropriate.
Your Name*
Please add your name in case we need to contact you for more information on your nominee.
Please add your email address in case we need to contact you for more information on your nominee.

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