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RT of the Year Award Nomination Form
  1. The deadline to nominate a candidate is January 15
  2. Nominee Full Name(*)
    Please type full name.
  3. Nominee Email(*)
    Please enter a valid email of the form userid@email.com
  4. Nominee Home Address
    Enter street address
  5. City
    Enter city
  6. State(*)
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  7. Zip(*)
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  8. Nominee Home Phone-No dashes(*)
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  9. Nominee Credentials(*)
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  10. Years Credentialed Six or More(*)
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  11. Years OSRT Membership Six or More(*)
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  12. Eligibility for this award: The nominee must have served as an officer, editor, committee chair, or committee member for OSRT.
  13. OSRT Service Requirement Met(*)
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  14. Your Name(*)
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  15. Your Email(*)
    Please enter a valid email of the form userid@email.com
  16. Your Phone-No dashes(*)
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  17. Please provide a pertinent biographic sketch of the nominee and a justification for the award in the text box below. Biographical sketch limited to no more than 200 words.
  18. Biographical Sketch(*)
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  19. Click the submit button below and check your email for your copy of the submitted form.