2026 Lifetime Achievement Award Nomination Form

This person is a long-standing CIOCAN member who demonstrates excellence through their commitment to, and leadership in, our community. They propel their organization and the industry forward with their innovation and dedication to the profession. The nominee must be a member in good standing with CIOCAN.

2026 Lifetime Achievement Award Nomination

Nominee

Name *

First

Title *

Title

Organization *

Company

Years of Service with CIOCAN:

Nominated by

Name *

First

Title *

Title

Organization *

Company

Date

Additional Nominee Information

1. Describe the contributions to CIOCAN which makes your nominee a candidate for this award. (limit 200 words) *

2. Describe the contributions within their professional life (outside of CIOCAN) which makes your nominee a candidate for this award. (limit 200 words) *

3. Describe your nominee’s influence on others in a leadership role. (limit 200 words) *

4. Provide any additional comments you feel will assist the reviewers related to the nominee’s involvement, leadership and achievements within the Association and technology sector. (limit 200 words) *

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