ASCLS Member of the Year Award - Nomination Form

Award submission deadline is March 31st

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Award Description

Purpose: To recognize an outstanding medical laboratory professional, who has demonstrated dedication to ASCLS: and who, by outstanding example, has inspired other laboratory professionals.

One individual from each membership category is awarded: 
Professional Member of the Year
Emeritus Member of the Year
Ascending Professional Member of the Year
Developing Professional Member of the Year 

To be eligible for this award the candidate must:
1. Be actively involved in the profession of clinical laboratory science.
2. Be a current member of ASCLS-IA and ASCLS and nominated for the membership category they are a member of at the time of nomination. 

Judging will be based on:
1. Activities in within the society.
2. Activities in other professional organizations.
3. Papers published; presentations/posters given.
4. Recommendation essay

Award 
(Please check the award you submitting this individual for)
 *
Nominee's Information
Name of Nominee (First and Last Name) *
Nominee's Place of Employment *
Nominee's Supervisor/Manager Contact Information *
Nominee’s Job Title/Description *
List of Notable Activities in ASCLS:   *
List of Notable Activities in other professional laboratory organizations:
 *
List of presentations, papers, etc
 *
Recommendation: 

In your own words give a brief explanation of why you feel the nominee should be chosen. 

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Submitter Electronic Signature *
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