Columbus Foundation 2010 Homeland Security Awards
Sponsored by the Christopher Columbus Fellowship Foundation and AgustaWestland North America
AgustaWestland


2010 NOMINATION FORM

Deadline for Submission: The deadline has been extended to Tuesday, May 18, 2010.

NOTE:
  1. It is important that you answer EVERY question before hitting the "Send Nomination" button. Otherwise, your information may be lost.
  2. Cookies must be turned on in your browser if you decide to save your work and return to your Nomination form at a later date.

2010 Homeland Security Awards

PURPOSE:
The 2010 Homeland Security Awards are designed to encourage and promote "cutting edge" innovations 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 monetary award bestowed by the Christopher Columbus Fellowship Foundation, a Federal government agency.

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

5) The winners must attend the awards ceremony on TBA, 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 has been extended to Tuesday, May 18, 2010.

7) The Foundation reserves the right to cancel or change the 2010 Homeland Security Awards 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!

  • 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: Judges in the first round of judging only see answers to questions 1, 2 and 3, so it is extremely important that you describe your work in simple and concise language in these three sections. This is your only chance to introduce your important work to the judges and have an opportunity to be selected to move to the second round of judging. However, all questions on the Nomination Form must be completed.

  • Briefly describe your work:

  • Characterize your work in 100 words or less:

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

  • Candidate's Education/Degree(s):

  • Other note-worthy accomplishments:

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

  • List the names, titles, affiliations and phone numbers of THREE professional peers who we can call upon as references.
  • 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!)

  • How did you hear about the Homeland Security Awards 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 Nomination at a later date:
    Desired Password:

  • Please submit this form by Tuesday, May 18, 2010.

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


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