Nomination Form

Nominate a member online (you must be logged-in to nominate a member online), or complete and submit the nomination form below.

Microsoft Word is required to view or print this form

To open a file:

  • Click the hyperlink below with your mouse’s right button.
  • Select “Save Target As…” from the menu to save the file to your hard drive.

A Microsoft Word version of the ACIC nomination form