Awards Nomination Form 2020 -2021

DVB Award Nomination Form (2020-2021)

Please fill out this form to nominate for an award.

Nominee Information
Nominee's Name *

First Name Last Name
Nominee's Institution/School *
Nominee's Job Title
Nominee's Phone Number

Area Code Phone Number
Nominee's E-mail Address
Nominee's Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Choose all that apply *

Member of DVB in good standing Member of National AALAS AALAS Certified (ALAT, LAT, LATG) CMAR DVM, VMD, or BVSc

Your Information
If you are nominating yourself, please check here and skip to Awards Section. Please be sure to have completed all fields above in Nominee Information.

I am nominating myself.
Your Name *

First Name Last Name
Your Institution/Company *
Your E-mail Address *
Your Phone Number *

Area Code Phone Number
Your Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Awards
Select the award for which you are submitting a nomination. *

ACTS Training and Education Allentown, Inc. Facility Manager/Supervisor American Protective Products Animal Specialties and Provisions, LLC. Technical Services Bio-Serv Enhancement or Improvement of Animal Welfare Dr. Harry Rozmiarek JJ Noonan Scholarship Purina Pro-Lab Source Center Inc. Dr. Robert A. Roosa Regulatory Compliance Award
JJ Noonan Scholarship
School Nominee is or will be attending *
GPA - current of past *
Describe Nominee's financial need. *
Describe Nominee's intended career goals related to lab animal science. *
Describe Nominee's practical experience with lab animals used in research, education, training or testing before or while attending an academic education. *
Letter or Recommendation *

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Nomination Form

Please ensure you fully read the individual award's description, qualifications and criteria before submitting your nomination. Incomplete nominations or those which do not meet the outlined criteria will not be considered. For Award descriptions, please visit http://www.dvbaalas.org/awards.html.
     Nomination letter may include:

1.     Experience in laboratory animal science

2.     Years in the field, skills, knowledge of lab animal science

3.     Educational background

4.     Participation in DVB AALAS, National AALAS, ACLAM, etc.

5.     Involvement in public education, teaching, training.

6.     Contributions and or accomplishment s in laboratory animal field.

7.     Contributions to improving the quality, standards, or techniques in the laboratory animal field.

8.     Recognition by peers as well as any Awards or honors previously recognized for accomplishments in the field
Describe why you believe that the Nominee should receive this award. Please be sure to explain how the Nominee meets the criteria and qualifications outlined in the specific award's description.
Dr. Harry Rozmiarek - Upload a copy of the article or abstract, the acceptance of submission documentation and a letter of endorsement from the nominee's manager / supervisor agreeing that the nominee will be given the appropriate time off from work to attend the meeting/conference *

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ACTS Award - Upload one letter of endorsement form the nominee's manage / supervisor and two additional support letter, ideally from someone who has been trained by the nominee. These letters should be 200 words or less.
Letter from Supervisor or Manager *

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Letter of Recommendation (someone trained by) *

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Letter of Recommendation (Support) *

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2nd Letter *

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DVB Award Nomination Form (2020-2021)

JJ Noonan Scholarship

Nomination Form