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Staff Manual Guide 3113.14, Attachment C

NOMINATION FOR FDA COMMISSIONER'S SPECIAL CITATION

1. Name, title and organization of nominee:

 

2. Complete street mailing address of nominee:

 

3. Proposed citation:

 

4. Description of contribution/achievement:

 

INSTRUCTIONS FOR COMPLETING NOMINATION FOR FDA COMMISSIONER'S SPECIAL CITATION.

General - Left margin must be no smaller than 1.5 inches.

Item 1. Provide name of nominee exactly as it should appear on award token/certificate/ letter/memorandum including any degrees used by the nominee. If more than one person (i.e., a group), provide name of group and a separate listing of all included in the group in alphabetical order. Number names.

Item 2. Provide complete mailing address of nominee. If group nomination, provide addresses on separate sheet with names.

Item 3. Provide a proposed citation of 25 words or less which summarizes the service or achievement which serves as the basis for this nomination. Begin the citation with words like, "In recognition of...," or "For..." and do not use personal pronouns such as his, her, their, etc.

Item 4. Provide a concise, yet thorough, description of the nominee's contribution/ achievement. Limit Item 4 to the equivalent of one single-spaced page.

Transmit each nomination separately under cover of its own transmittal memorandum - see sample at Attachment D to this Guide.