top of page

Dixon Award Nomination Award

ABOUT NOMINEE

General information about the person being nominated for a Dixon Award

Nominee's first name*

Nominee's last name*

Nominee's job title, if applicable

Nominee's email*

Nominee's phone number

Is nominee a New Mexico resident?*

Yes

No

Has nominee been awarded a Dixon Award in the past

Yes

No

Unsure

Photo of nominee*

General information about person submitting this application

NOTE: Nominees cannot submit their own applications

Name of person submitting nomination*

Email of person submitting nomination*

Phone number of person submitting application*

Names and contact information of people who have knowledge of the nominee's actions to further government transparency

NOTE: If the person submitting this application would like to serve as a reference, put "self"

Names of references

Reference(s) email

Reference(s) phone numbers

In what field has the nominee advocated for government transparency?

Citizen

Government

Law

Media

Education

Business

Other

Reason for nomination: What makes the nominee a strong candidate for a Dixon Award? *

What specific actions did the nominee take to advance or protect open government?*

Provide any additional relevant details

Upload any files or photos that support the nomination

New Mexico Foundation for Open Government • (505) 764-3750 • info@nmfog.org • Mailing address: 13170 Central Ave. SE Ste. B, 111, NM 87123

bottom of page