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  AJS Herbert Harley Award Nomination From Your location: AJS Main Site :: Harley Nomination

Herbert Harley or Special Merit Selection Award Nomination Form

Individual or entities contact information
Name: 
Title: 
Address: 
City: 
State: 
Zip: 
Telephone Number: 
E-mail Address: 
 
Individuals or entities profession/civic involvement
List all titles, positions or committee activities.
 
Improvement in the administration of justice
Name key accomplishments and the role played by nominee in each
 
Nominator’s statement
Describe why you believe this candidate is deserving of the Herbert Harley Award and/or provide quotes or descriptive phrases made by others that comport to the Harley Award criteria
 
Nominator Signature (Required)
(name) (signature) (date)
 
(phone) (email address)  

 
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