Copper Black Award nomination

The Copper Black Award is given to Mensans for specific creative achievements that have been demonstrated to be of practical value or for innovations that have been implemented, at least in part, to the advantage of persons other than the nominee.

Achievements must have been demonstrated to be effective within the three calendar years preceding the award year to be considered. Self-nomination is encouraged!

Nominee Information (Mensa membership required)

Nominated By:

Nominator Information

Accomplishment Information

Subject of the Accomplishment

In 300 words or fewer, describe the problem, difficulty, or other circumstances that is addressed by the creative achievement. Include how long the problem has persisted, if known.

Description of the Accomplishment

Describe the achievement, including the estimated number of people impacted. Please limit your answer to 500 words or fewer.

File Attachments (PDF files only)

Please include clippings from periodicals, professional journal articles, or other documents that provide objective evidence of the problem, implementation, recognition, significance, etc., may be attached to support the nomination.