Henry C. Greene Award Nomination 2015


  Personal Information
Name of Nominee:
Street Address:
City:
State:
Zip Code:
Email Address:
Daytime Phone: xxx-xxx-xxxx


  Nominator: Self nominations are permitted.
Name:
Street Address:
City:
State:
Zip Code:
Email Address:
Daytime Phone: xxx-xxx-xxxx
Fax Number: xxx-xxx-xxxx
Relationship to Candidate:
Have you Notified the Candidate/Group of this nomination?
Yes     No

References: Please submit by postal mail or email two letters of reference that support the application.  Other supporting materials (newspaper articles, book reviews, etc.) are welcome.

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Henry C. Greene Award Nomination 2015


Suggestion: For the following questions, it is advised to write and edit your responses in a word processing program until it is complete and then copy and paste into the forms below.


   Nature of the innovation

Please describe the nature of the innovation. Include: unique qualities, broader impact, outcomes, duration, and the problem that was solved with this innovation.


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