YOUR INFORMATION

Your Name *

Your School *

Your Title *

Your Phone # (xxx-xxx-xxxx) *

Your Email Address *

NOMINEE INFORMATION

NOTE: Nominees must be heads of SAIS member schools.

Nominee's First Name *

Nominee's Last Name *

Nominee's Email Address *

Nominee's School *

City *

State *

NOTES

Please share any information about this nominee that you feel the committee should consider. This does not need to include biographical info, as each nominee will be required to complete a bio form if they choose to accept the nomination.