Nomination for 2025 NW Region Member Award

To submit a nomination, please fill out the form below. (You can make as many nominations as you want. To nominate the same person for multiple awards, please submit a separate form for each nomination.)

LIVE 071425

YOUR CONTACT INFO
Your name:	Please enter your name.
Your email address:	Please enter your email address.
Your state/province:

NOMINATION DETAILS

Which award is this nomination for?

NW Member of the Year

NW Sportsman of the Year

NW Humanitarian of the Year

Please select an award.

Who are you nominating
for this award?

Please enter the name of your nominee.
(Your nominee must reside within the TICA NW Region.)

Why are you nominating this person?

Please provide a nomination statement.
Please submit at least one paragraph explaining what this person has done to merit this award.

Your statement will be included on the TICA NW ballot site so that NW voters can make an informed decision about whom to vote for. (We reserve the right to edit all nomination statements.)

To prove that you are a human and not a computer, please answer the following question:

How many heads does a typical NW Region member have? * *