M. Justin Herman Memorial Award

Fields marked as * are mandatory and those marked as ** are required to be entered to submit the form.
Nominee Information
If country is USA, telephone number should be in the format 555-555-5555
If country is USA, extension should be of the format 5555
If country is USA, fax should be of the format 555-555-5555
Achievements and Actions
Address each of the following topics. Add in chronological order with the most current first.
2. Statement showing Nominee's demonstrated excellence through projects, actions or policies in one or more of the following areas: 1. Administration of housing and community development programs. 2. Significant impact on major community problems. 3. Political or governmental service in the field of housing/community development. 4. Economic innovation. 5. Technological contributions. 6. Legal reform. 7. Academic leadership. 8. Influence of public opinion on programs through the news media or other means. (0-50 points) **
3. Additional Areas of Excellence in any of the following areas. Add Attachments (including recommendations): 1. Administration of housing and community development programs. 2. Significant impact on major community problems. 3. Political or governmental service in the field of housing/community development. 4. Economic innovation. 5. Technological contributions. 6. Legal reform. 7. Academic leadership. 8. Influence of public opinion on programs through the news media or other means. (0-30 points)**

6. Attach 5 recommendations of other professionals acknowledging the contributions made by nominee below.

Nominator Information
If country is USA, telephone number should be in the format 555-555-5555
If country is USA, extension should be of the format 5555
If country is USA, fax should be of the format 555-555-5555
Files Holder
File Size and Type restrictions for upload: 5MB AND .gif, .jpg, .bmp, .tif, .txt, .rtf, .doc, .xls, .ppt, .pdf