Award Nomination Form

This form should be used to nominate someone who:

1. has a current paid membership in STARFLEET International.

2. has designated their affiliation with STARFLEET Medical in the SFI Database.

3. has registered with STARFLEET Medical on the Directorate.

Indicate who this award is FOR

If this isn't you, please be sure to indicate you are not the nominee on the right.

If known
Awards will be sent to the relevant ASG for local presentation.