IMPORTANT: The nomination period for 2021 Fellows has passed. For questions, please contact Nichole Velasquez, Fellows Program Manager.

LCLD Member nominations for 2021 Fellows will open Monday, November 9, 2020 and run through the extended deadline of Friday, February 12, 2021. Please fill out this form for each nomination and click “Sign Up” at the bottom. Note: Form submissions may not be recorded if you are using an outdated browser. Please download the latest version of your web browser to ensure that your submission comes through.

For more information about the LCLD Fellows Program, including selection criteria and fees, please click here.

Selected Fellow's Personal Information

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Fellow's Professional Information

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Optional Demographic Information

Your Information

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