Columbus Foundation $25,000 Homeland Security Award
 sponsored by the Christopher Columbus Fellowship Foundation and presented by AgustaWestland North America.		 AgustaWestland

2008 NOMINATION FORM

Deadline for Submission: : May 23, 2008

NOTE:

  1. It is important that you answer EVERY question before hitting the "Send Nomination" button. Otherwise, your information may be lost.
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2008 Homeland Security Award

PURPOSE:
The $25,000 Homeland Security Award is designed to encourage and promote "cutting edge" innovation in the homeland security area to provide incentive for continuing research.

ELIGIBILITY:

1) This is a competition NOT a grant application. The Christopher Columbus Fellowship Foundation, herein known as the Foundation, is asking individuals and companies to compete with each other to develop new concepts or inventions that will bring homeland security and stability to America and Americans, whether against threats from natural or man-made disasters, terrorists or cyberspace criminals.

2) Nominations must demonstrate innovative thinking that has or will lead to creative work, process, product or other achievement in the homeland security area that has or will make a significant and beneficial impact on society. There must be substantial evidence presented as to the impact.

3) Candidates/companies must be United States citizens/companies and be permitted, by their employer or any other relevant authority, to accept a $25,000 award bestowed by the Christopher Columbus Fellowship Foundation, a Federal government agency.

4) The award may be taxable income to the recipient. All tax liabilities are the sole responsibility of the winner. All Federal, State and local laws and regulations apply.

5) The winner must attend the awards ceremony on September 11, 2008, in Washington, D.C. in order to receive the award. Anyone who cannot attend the awards ceremony will automatically be disqualified. Read more about rules

6) All Nominations are received online at: www.ccolumbusfoundationawards.org. The deadline for submissions is May 23, 2008.

7) The Foundation reserves the right to cancel or change the Homeland Security Award competition at any time at its full discretion.

  Check here acknowledging you have read and understand the rules of eligibility.

By checking this box, you certify that you meet all eligibility requirements.

NOTE:
Please complete the following in language as simple as possible. Complete all fields unless otherwise noted!

  1. THE CANDIDATE - Is Company?
    Fields:
    SalutationFirst NameLast Name
    Title:
    Company/University/Affiliation (optional):
    Address:
    Address (optional):
    City:
    State:
    Zip:
    Phone:
    Fax (optional):
    Email: (Please enter one address only!)
    Phone where you can be reached in June/July/August:
    Email where you can be reached in June/July/August: (Please enter one address only!)

    Note:
    It is extremely important that you provide a comprehensive and concise description of your work, as this is your only opportunity to introduce your innovation to the Board of Trustees in the first round of judging.

  2. Briefly describe your work:

  3. Characterize your work in 100 words or less:

  4. Please elaborate on your accomplishments and specify how they have benefited society on some level:

  5. Candidate's Education/Degree(s):

  6. Other note-worthy accomplishments:

  7. Previous Honors and Awards (please limit to top five awards):

  8. List the names, titles, affiliations and phone numbers of THREE professional peers who we can call upon as references.
  9. THE NOMINATOR
    Are the Candidate and the Nominator the same person?
    Yes (If 'Yes', skip to question #11.)
    No
    SalutationFirst NameLast Name
    Title:
    Company:
    Address:
    Address:
    City:
    State:
    Zip:
    Phone:
    Fax (optional):
    Email: (Please enter one address only!)
    Phone where you can be reached in June/July/August:
    Email where you can be reached in June/July/August: (Please enter one address only!)

  10. How did you hear about the Homeland Security Award Program?

    If you believe that all information is complete you may send the Nomination now. We will do a quick check for necessary information, and if all is included, we will send you an email verifying your Nomination has been received.

    Send me an Email of the completed form:

    If all necessary information is not yet complete you may save your work below. To save your work you must minimally fill out the name of the candidate and all of your contact information, either as the nominator or candidate. You can then use your Email address and a Password of your choice (below) to retrieve and complete this application at a later date:
    Desired Password:

Please submit this form BY Friday, May 23, 2008.

NOTE: If your Nomination is selected as a semifinalist, we will notify the Nominator and request copies of supporting materials.

Purpose, Eligibility, Selection Process and Application Materials  |   Christopher Columbus Foundation
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