LCLD Member nominations for 2020 Fellows will open Friday, November 8, 2019 and run through Friday, January 31, 2020. 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. For questions, please contact Nichole Velasquez, Fellows Program Manager.

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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