MVMA Award Nomination Form
Nominations close Sunday, August 30, 2026 at 4:00pm
Person completing the form (Nominator):
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First Name
Last Name
Nominator's email address:
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Person who you are nominating (Nominee):
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First Name
Last Name
Which award are you nominating for?
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Please Select
Life Member
Veterinarian of the Year
Veterinarian Technologist of the Year
Honorary Membership
Certificate of Merit
Mentorship Award (Veterinarian)
Mentorship Award (Veterinarian Technologist)
Describe why you are nominating this person.
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Upload a PDF letter of reference (optional).
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Signature of nominator
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