Nomination

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Your Name *

Your Organization *

Your Title *

How you found out about this workshop *

First Name of Nomination Candidate *

Last Name of Nomination Candidate *

Organization of Nominee (if freelancer type FREELANCE) *

Email address for Nominee *

Does this individual report to you directly? *

Why do you feel this individual would be a good candidate for this workshop? *

Why do you feel this individual would be a good mentor for other journalists? *

What do you want your nominee to gain from this workshop? *

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