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Nominator Form: 2022 Allentown Leadership Award
The Allentown Leadership Award is offered to a laboratory animal technician who demonstrates promising leadership qualities and shows the potential to become a leader of tomorrow. The recipient is someone who is involved in teaching others and often takes on a mentoring role with junior technicians. The candidate need not be a manager but may supervise or lead a group of people.
The selection panel will judge the candidates according to each of the criteria outlined below:
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Has at least 5 years in the field
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Educational background (open to everyone)
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Participates in teaching/training in the field
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Participates in CALAS/ACSAL at the National or Regional level
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Is a CALAS/ACSAL Member in good standing
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Candidate Information
Name:
Your answer
Institution of Company:
Your answer
Position held:
Your answer
Preferred Phone:
Your answer
Is the candidate a CALAS/ACSAL member in good standing? (Mandatory)
*
Your answer
Contact Information of Nominator
Name:
Your answer
Occupation:
Your answer
Street Address:
Your answer
City:
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Province:
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Postal Code:
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Preferred Phone:
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Preferred Email:
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Is the nominator a CALAS/ACSAL member in good standing? (Mandatory)
*
Yes
No
Nature of Relationship with the candidate (e.g. supervisor, professor, co-worker, colleague):
Your answer
How long have you known the candidate (in years):
Your answer
Has the candidate been in the laboratory animal science field for at least 5 years?
Yes
No
Clear selection
Has the candidate participated in teaching/training in the laboratory animal science field?
Yes
No
Clear selection
Has the candidate participated in CALAS/ACSAL at the National or Regional level?
Yes
No
Clear selection
Please enter your statement of nomination here:
(max 500 characters)
Your answer
Please enter at least two (2) references and their contact information. CALAS/ACSAL will contact the references for their reference letters.
i.e. Name, Phone Number and Email
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