IWIRC 2027 Melnik Award Nomination Form

IWIRC 2027 Melnik Award Nomination Form

Due December 4, 2026
The Melnik Award, named for IWIRC founding Chair Selinda Melnik, is awarded to a member whose contributions to IWIRC, over an extended period of time, have been exceptional. By her efforts, she has made a lasting impact on the mission of IWIRC.
Nominator

First NameLast Name
Nominator E-mail
Nominee

First NameLast Name
Nominee E-mail
example@example.com
Nominee's Network
No. of Years as an IWIRC member
IWIRC Network positions held: please describe and list years
IWIRC national positions held: please describe and list years
IWIRC Regional positions held: please describe and list years
IWIRC International positions held: please describe and list years
Lasting and exceptional contributions to IWIRC: please describe.
I note that the nominee is a member in good standing. (To verify, please go to the IWIRC website and check their profile. If you are not able to see their profile, their membership is not current.)
I authorize that IWIRC may use any of the statements above, with or without accreditation, inany press release or other public notification if the nominee is selected.
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Please first REVIEW your responses, then you can SUBMIT the entry.
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