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RT of the Year Award Nomination Form
The deadline to nominate a candidate is May 15
Nominee Full Name
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Nominee Email
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Nominee Home Address
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City
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State
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Zip
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Nominee Primary Phone-No dashes
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Nominee Credentials
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Nominee Credentials
ARRT
ARDMS
NMTCB
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Years Credentialed Six or More
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Years Credentialed Six or More
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Years OSRT Membership Six or More
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Years OSRT Membership Six or More
Yes
No
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Eligibility for this award: The nominee must have served as an officer, editor, committee chair, or committee member for OSRT.
OSRT Service Requirement Met
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OSRT Service Requirement Met
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Your Name
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Your Email
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Your Phone-No dashes
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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.
Biographical Sketch
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Click the submit button below and check your email for your copy of the submitted form.
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