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Nominations for APA Presidential Citation as a Citizen Psychologist

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Nominator (you)

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Nominee

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Affiliations

Primary organization for which the nominee's service as a Citizen Psychologist is being recognized:
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Description of Contributions

Reminder: For security reasons, you have 20 minutes to complete data entry and click the 'Submit' button. If you need more than 20 minutes, we strongly recommend you compose your longer text in a word processor and then simply copy and paste your information into the appropriate places.
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Vita/Resume







Accompanying Information






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References

Provide information about at least two other individuals who are familiar with the nominee's work as a Citizen Psychologist. These references do not have to be psychologists.
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Additional Nominee Information

If you are nominating someone else and do not know the below answers, please leave them blank. All of this information is optional but helpful if it can be provided.





























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