AACEM Award Nomination Form 2026

AACEM 2026 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 a colleague 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 19, 2025

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 less0/500
Should be Empty:

AACEM 2026 Awards Nomination Form

YOUR INFORMATION (as the Nominator)

NOMINEE INFORMATION