Please complete and submit the following nomination form.
Nominator (The person submitting the nomination.)
First Name:
Last Name:
Phone Number:
Email Address:
Address:
City:
State:
Zip:
Organization Affiliation:
(if applicable)
Is the nominator 13 years of age or older as of today?
No
Nominator must be 13 years or over, see terms and conditions.
Relationship to Nominee:
 
Do you agree to participate in the press release and any other media events associated with the program, including signing a Microsoft release form for participation?
No
 
Nominee (Person who you are nominating.)
If chosen, your nominee will need to be willing to participate in the press release and any other media events associated with the program, including signing a Microsoft release form for participation. If chosen, your nominee will be requested to travel to New York immediately prior to the Awards Ceremony on November 12, 2007 for promotional purposes. Exact dates and time to be determined. (see terms and conditions for further details)
Which award is this person being nominated for?
Please select an item.

[Click here for a category description]
First Name:
Last Name:
Phone Number:
Email Address:
Address:
City:
State:
Zip:
Organization Affiliation:
(if applicable)
Does your nominee know he/she is being nominated?
No
Is the nominee under the
age of 13 today?
No
* If yes, please complete the following information:
In receipt of the nomination, Microsoft will contact the nominee’s parent or guardian and request their consent of inclusion of the nominee. Please see terms and conditions for further details.
First name of nominee's parent or legal guardian:
Last name of nominee's parent or legal guardian:
Phone Number of nominee's parent or legal guardian:
Email Address of nominee's parent or legal guardian:
 
Nomination: Please describe in a brief essay (600 words max):
• Explain why you believe your nominee should win a Microsoft Above and Beyond Award
• Provide a detailed description of their service to the troops and its impact
• Include any personal or professional background information on your nominee that you think the Award Committee should know about
 
Please type in this code 372404 into the area on the right.
 
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