Nomination Form for Member Service Awards Please Note: It is recommended that you use a personal computer to make your submission. Workplace servers may block this form from being submitted to OPPI. Nomination Endorsement Your Name *: Your Phone Number *: Your Email Address *: Upload a Photo of the Nominee *: Upload:Upload file Please upload a high quality image, suitable for publication on the website and print materials. This will help ensure your image is not blurry or pixelated. Fellow OPPI Member Name *: Fellow OPPI Member Phone Number *: Profile of Nominee Name of Nominee *: Describe, in 1500 characters, spaces included, or approximately 200 words, how the candidate fulfils the purpose and selection criteria of this award *: Security Question 5 + 5 + 5 - 5 + 12 =: To submit this form, click the SUBMIT button. If there are errors or omissions, you will be prompted to correct these and then re-submit the form.