Government Relations and Legislative Advocate Nomination Form

Government Relations and Legislative Advocate Nomination Form
Purpose
- To openly honor an AMTA Member who has achieved exceptional accomplishments at the chapter and/or national level in government relations and legislative activities
- To acknowledge and promote achievement(s) deserving of said recognition
History
- Award established in 1996 as Government Relations Activist and redesigned in 2023 as Government Relations and Legislative Advocate
- 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 for at least one (1) year in good standing
- Recipient(s) have participated at the National and/or Chapter level in government relations
- Recipient(s) shall not have received this award in the previous year
- 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
Please note: the more detail you can include the better
Rationale: What are the reasons you selected the Nominee? Why are you nominating this person?
Characteristics: What outstanding characteristics or other distinguishing criteria make the nominee uniquely qualified for this award.(Examples, leading a team, serving on a team, problem solving skills)
Achievements: What specific accomplishments has this nominee achieved in the area of government relations?
Please add any other supporting documentation here (optional)

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Submissions must be completed by April 15, 2026
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