Nebraska Veterinary Medical Association Annual Awards Nomination Form

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Nomination deadline is December 1.

Date *

YYYY

Name of Nominee *

City *

Nominated for (check one) *

Veterinarian of the Year

Distinguished Service

Outstanding Young Veterinarian

Commercial Representative

Outstanding LVT

Name of Nominator *

Address *

City *

State *

Zip *

Phone *

Email *

Other Information Needed

Please email to Dina Michel at dmichel@nvma.org:

• a cover letter describing the reasons the nominee should be considered for the award
• a list of accomplishments
• letters of recommendation
• any additional supporting documentation

While all of these may not be applicable or necessary, it is important to be as thorough and comprehensive as possible, as these descriptions provide the material in which the Awards Committee must decide the recipient.

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