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Federal 100 electronic nomination form

Please fill in the form below to nominate an individual for a 2004 Federal 100 award. Awards will be based on achievements occurring in 2003. The deadline for nominations is Jan. 2, 2004.

The Federal 100 recognizes individuals from government, industry and academia who significantly influenced how the federal government used, bought or managed information technology in the previous year. Federal 100 winners are recognized for their risk-taking, vision and pioneering spirit in the federal IT community.

A panel of judges will choose the winners using the following set of guidelines. Click here to browse the 2003 Federal 100 winners.

Judges also will choose from the list of winners an individual from a government agency to receive the Monticello Award, which recognizes an information system that directly improved the welfare of Americans. Read about the 2003 and 2002 Monticello Award winners. To nominate a project, click here or on Monticello Award link that will appear after you submit your Federal 100 nomination.

If you have any questions, please contact Molly Ferrara at 703-876-5141 or e-mail at mferrara@fcw.com

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Nominee Information
    Title
    		First Name
    		Middle Initial
    		Last Name

    Job Title
    Gender

      Male    Female

    Employer

      Defense




      Civilian Agency


      Other Federal agency




      State/Local Government

        Please specify

      Industry
        Company name


      Academia
        School name



    Address


    Address (cont.)


    City, State, Zip Code
    ,  

    Phone


    E-Mail




Reason for nomination (Limit to 500 words)




Nominator information


    Name   


    Job Title   


    Phone Number   


    E-Mail    


    Agency/Company   


Other supporting nominators:



    Name

    Job Title

    Phone or E-Mail

    Agency/Company


    Name

    Job Title

    Phone or E-Mail

    Agency/Company


    Name

    Job Title

    Phone or E-Mail

    Agency/Company


    Name

    Job Title

    Phone or E-Mail

    Agency/Company


    Name

    Job Title

    Phone or E-Mail

    Agency/Company


    

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