National Meritorious Nomination Form

Purpose

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

History

Award established in 1969
Award is selected and is not announced publically until time of presentation
There may be more than one (1) recipient in a given year
Recipient names will be kept on the award recipient archive page on the AMTA National website

Qualifications

Recipient is an active AMTA member and volunteer in good standing for at least 5 years
Only one (1) nominee from each chapter can be a recipient
Volunteerism at the National level, i.e. appointed national positions and/or CPC Moderator-Elect, Delegate.
Recipient shall not have received this award in the previous year
Past Chapter Meritorious Award recipient
More than one recipient may be chosen from different Chapters
Recommended by the Awards Committee
Approved by the Executive Committee and/or National Board of Directors

Nominator Information

Nominator Name

Nominator Chapter

Nominator Email

example@example.com

Nominee Information

Nominee Name

Nominee Chapter

Nominee Email

example@example.com

Below, please describe the AMTA and Non-AMTA volunteer positions the nominee has served in. If they do not apply, please state N/A. Please include position title and term dates if available.

AMTA National Positions (elected or appointed, chair or committee member)

AMTA Chapter Positions (elected or appointed, chair or committee member)

Professional/Community Positions

Honors or Awards

Please note: the more detail you can include the better

Rationale: What are the reasons you selected the nominee? (Please provide specific examples)

Characteristics: List special qualities of the nominee. Examples: creative ideas, team building,receptiveness to the ideas of others, etc.

Major Projects: List any major projects the nominee has been involved with for AMTA at the National or Chapter level that has had an important impact on the association.

Please add any other supporting documentation here (optional)

Submissions must be completed by April 15, 2025