AMCA Awards Nomination Form

AMCA Awards Nomination Form

Submit a nomination for the AMCA Awards. Use the Awards Guidelines link provided by the Association before completing the form.
The American Mosquito Control Association (AMCA) is now accepting nominations for the AMCA Awards! These prestigious honors celebrate individuals and organizations making outstanding contributions to AMCA, medical entomology, public health, and the continued innovation of mosquito control practices and tools.
Awards Guidelines Link
Nomination deadline: July 31st, 2026
Nominee Information
Nominee Name

First NameLast Name
Nominee Organization / Affiliation
Nominee Title / Position
Nominee Email
example@example.com
Nominee Phone
Please enter a valid phone number.Format: (000) 000-0000.
Nominator (Submitter) Information
Your Name

First NameLast Name
Your Organization / Affiliation
Your Title / Position
Your Email
example@example.com
Your Phone
Please enter a valid phone number.Format: (000) 000-0000.
Nomination Details
Nomination for:
Summary of Nominee’s Contributions
Letter of support

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Upload Nominee Photo

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