AACEM Award Nomination Form 2025

AACEM 2025 Awards Nomination Form
AACEM is committed to the goal of recognizing members who have contributed in a significant way through their talents and commitment to the organization.

Please consider nominating your colleagues for one of the AACEM awards described below. More information on each of these awards can be found on the AACEM awards webpage.
- Distinguished Service Award
- Lifetime Service Award
Submission Deadline: Friday, December 20, 2024

Distinguished Service Award

This award is given to a current member who has exemplified exceptional leadership and made impactful contributions to education, research, clinical care, administration, public and professional service, and/or civic duties.

Lifetime Service Award

This award is the highest recognition given to a current or past member who has brought honor to AACEM through a celebrated career in academic emergency medicine accentuated by outstanding contributions to the organization.

Eligibility: You must be an AACEM member in good standing, i.e., up to date membership dues.

If you have any questions about the awards process, please contact governance@saem.org.
YOUR INFORMATION (as the Nominator)
Your Name*

First NameLast Name, Designations
Your Institution*
Your Title*
Your Email*
example@example.com
Your Preferred Phone
Please enter a valid phone number.
NOMINEE INFORMATION
Nominee's Name *

First NameLast Name, Designation
Nominee's Institution*
Nominee's Title*
Nominee's Email*
Nominee's Phone Number
Please enter a valid phone number.
Please select the AACEM award you are nominating someone for:*
Please provide a statement about the candidate and why you feel they best deserve this award. *
500 words or less
Should be Empty:

AACEM 2025 Awards Nomination Form

YOUR INFORMATION (as the Nominator)

NOMINEE INFORMATION