2025 Advocacy Academy Nomination Form

Your Name:
Company Name:
Work Email Address:
Nominee's Full Name:
Nominee's Job Title:
Email Address of the Nominee:
Location of the Nominee (City & State):
What type of facility is the nominee in?
- Corporate Headquarters
- Plant/Manufacturing Facility
- R&D Center
- Support/Sales Office
- Other
In a few sentences, why do you feel the nominee would be good for the ACC Advocacy Academy?
Do you feel the nominee would be able to commit to participating in monthly educational webinars (April-September) with sufficient advanced notice and willing to participate in the Washington D.C. Fly-In, barring any unforseen circumstances?
- Yes
- No
Will your company be willing to cover travel and lodging expenses for the nominee to participate in a graduation and congressional fly-in for the conclusion of the program?
- Yes
- No