Chapter Meritorious Award Nomination Form

Purpose

To openly honor an AMTA member
To acknowledge diligent volunteerism done in an altruistic manner

History

Award established in 1969
Has been given annually since that time
Recipients are honored annually
Recipients will receive a recognition plaque from the National office

Qualifications

Recipient is an active AMTA member for at least three (3) years in good standing
Only one (1) nominee from each chapter can be a recipient
Recipient shall not have received this award in the last 3 years
Chapter board must approve recipient

Please note: the Chapter Board should notify the recipient in advance of convention so the recipient can make appropriate travel arrangements should they want to attend an honorary celebration.

Nominator Name

Nominating Chapter

Nominator Email

example@example.com

Chapter Meritorious Recipient Information

Recipient Name

Recipient Chapter

Recipient # Year's Membership

Recipient Email

example@example.com

Rationale: What are the reasons you selected your Chapter Meritorious recipient? (Please provide specific examples; i.e. involvement in the chapter, volunteering,taking on extra responsibilities, etc.)

Characteristics: What outstanding characteristics or other distinguishing criteria make the recipient uniquely qualified for this award. (examples, team player, team leader, reliability, good communicator)

Achievements: What specific accomplishments has this nominee achieved in their volunteer work with the chapter?

Once your nominee has been voted on and approved by your chapter board, please send their name to Colleen Leeders at ckleeders@amtamassage.org by April 15, 2026.

Chapter Meritorious Nomination Form