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Nomination Form

 

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2009 LITHF Nominations

For nominations:
Please fill out this form

Entries are due no later than November 3, 2008.

The Long Island Technology Hall of Fame honors the contributions, exceptional accomplishments, and dedication of historical figures or current leaders who have had or are having an impact on Long Island science and technology.

Name
Company
Address
State
ZIP
Phone
Fax
E-Mail
Name of Person Nominated
Company (if applicable)
Contact Number
E-Mail


Selection Criteria
Please provide a few sentences on why you are recommending this person for induction to the Long Island Technology Hall of Fame, according to EACH of the following selection criteria:


1. Impact on science and technology









2. Lifetime achievement
3. Contributions to Long Island’s economic development
4. National prominence
5. Academic attainment
6. Commitment to the Long Island community
Attach necessary supporting documentation, including a brief, typewritten biography (Limit of 500 words). Materials on individuals not selected for induction in a particular year will be held for future consideration.
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