Nomination Form


Eligibility

Any state-side staff member or HEERA manager (MPP) (Student assistants and faculty are not eligible).


Select your affiliation
Nominator Information

For employees, enter your Beach ID. All form fields will be auto-populated with your current campus information.

* All Fields are required.


Nominee Information

Use the Nominee Name field to perform your search. A drop-down list will appear with options that best match your entry. Once you select the name, all other fields will auto-populate.