2020 GOTA Award Nomination- OT Supporter Award for a Non-OT / Non-Member

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This award is given in appreciation for extraordinary contributions that led to the advancement of occupational therapy and/or health promotion.

Purpose
To honor and recognize an individual or an organization that is not an occupational therapy professional or provider, for their support, promotion and/or advocacy of the profession of occupational therapy.

Minimal Requirements

-Nominees shall have made a significant contribution to the advancement of occupational therapy. Their efforts may include, but are not limited to, financial contributions, political support, pioneer work, or an outstanding leadership role.

-Individual or organization must not provide direct occupational therapy services.

-Members/Organizational Members may be nominated for services or contributions that have been made clearly beyond those of normal professional duties and responsibilities.

-Non-Members may be nominated for services or contributions that have markedly benefitted occupational therapy.

Information about the Nominee:

Nominee's Name *

Nominee's Email Address *

Nominee's Phone Number

Nominee is not an occupational therapist or occupational therapy assistant *

Yes

Is the nominee an non-GOTA member or an OT practitioner from another state who has made contributions to GOTA that go well beyond typical professional contributions

Yes

Clear selection

Describe how the nominee has made significant financial contributions to the profession

Describe how the nominee has made significant political contributions to the profession

Describe how the nominee has made significant contributions and innovations in occupational therapy

Describe how the nominee has exhibited an outstanding leadership role

Please tell us about yourself as the nominator in case we need to contact you:

Your Name *

Your Email Address *

Your Phone Number *

Submit

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