AAEP Award Nomination Form

AAEP Award Nomination Form
AAEP Award:*
This form is to be used for all AAEP Award nominations. Sufficient background and biographical information is required for all nominations. See specific AAEP Award for additional information and eligibility criteria. The AAEP Nominating Committee will review the nominees, and their recommendation will be submitted to the Board of Directors for approval during the summer Board meeting. The description of each award and past recipients can be found at http://www.aaep.org/info/aaep-annual-awards.

Based on the criteria of the designated award, attach a letter of nomination to this form. The nomination letter, not to exceed two pages, should include specific information about why the nominee should be recognized, as well as the following:

1)     Background

2)     Accomplishments

3)     Impact on horse health and welfare

4)     Impact on the veterinary profession

An additional 3 pages of background information or resume may be included for the nomination. Please DO NOT include full CVs with award nominations, a short version CV, three pages or less may be included but is not required.

Please upload nomination letter and other supporting documentation:

Cancelof
Name of Nominee:

First NameLast Name
Status of Nominee (volunteer, employee, and length of service:
Address of Nominee:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number of Nominee:
Please enter a valid phone number.
Email of Nominee:
example@example.com

Nominated by:

First NameLast Name
Affiliation:
Nominator Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Nominator Phone Number:
Please enter a valid phone number.
Nominator Email:
example@example.com
Endorsed by:
(please include an email if nominator is not an AAEP member veterinarian)
Unique aspects of nominee's contribution to equine veterinary medicine as it relates to the purpose of this Award:
Should be Empty: