2025 ACOEM Annual Awards Nomination

2025 ACOEM Annual Awards Nomination

To be presented at the 2025 American Occupational Health Conference (AOHC) April 27-30, 2025, in Austin, TX
Nomination Deadline is December 1, 2024

The ACOEM Awards Committee invites members to nominate individuals who have made significant contributions to the field of occupational and environmental medicine (OEM) to be considered for one of four ACOEM annual awards.

To nominate an individual for one of these awards, please complete the information below. Additional details can be found on the ACOEM Annual Awards Page. ACOEM Officers and Directors are not eligible during their terms of office.

Incomplete nomination forms will not be processed.

Questions? Contact ACOEM at 1-847-818-1800 or custinfo@acoem.org.
I would like to nominate an individual for the following ACOEM award:*

*LIFETIME ACHIEVEMENT IN OEM AWARD: Presented to an individual (member or non-member of ACOEM) who has had a distinguished lifetime career in one or more disciplines of occupational medicine, environmental medicine, and/or environmental health.*EXCELLENCE IN EDUCATION OR RESEARCH IN OEM AWARD: Presented to an individual (member or non-member of ACOEM) for significant lifetime contributions made to academic excellence or research in the disciplines of occupational medicine, environmental medicine, and/or environmental health.HEALTH ACHIEVEMENT IN OCCUPATIONAL MEDICINE AWARD: Presented to an ACOEM member for a specific, unique achievement in the field of OEM.MERITORIOUS SERVICE AWARD: Presented to an ACOEM member who has provided meritorious service to the College.EXCELLENCE IN MENTORSHIP AWARD: Presented to an ACOEM member who has contributed significantly to mentoring and training OEM providers.VANGUARD AWARD: Presented to an ACOEM member for significant contributions to the advancement of the ACOEM mission and/or the specialty of OEM within their first 5 years of active membership. ACOEM Active Members, ACOEM Resident Members, ACOEM Medical Student Members who are in no more than their sixth year of active membership at the time of the award presentation are eligible.
* Lifetime Achievement and Excellence in Education or Research awards are presented for lifetime achievement. Each may only be awarded once to an individual. To find out if an individual has already received one of these awards before submitting a nomination, access the Past ACOEM Award Winners list.
Nominee Information
Member Status*

ACOEM Member (only current ACOEM members are eligible nominees for the Health Achievement or Meritorious Service Awards)Non-member
Name*

First NameMiddle NameLast Name
Degree
Cell Number*
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Email*
example@example.com
Company/Organization
Title
Address

Street Address

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CityState / Province

Postal / Zip Code
NOMINATION STATEMENT: List below the detailed reasons why the individual you are nominating deserves the recognition for a particular award. Be specific about this person’s achievement and the significance/relevance of the achievement to the field of occupational and environmental medicine (if necessary, upload supporting documents below):*
Links to relevant webpages, articles, journals, etc.
Supporting document(s)

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Nominator Information

Please provide your contact information so that we may contact you if further details are needed.
Nominator Name:*

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Nominator Email*
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Nominator Cell Number*
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2025 ACOEM Annual Awards Nomination

Nomination Deadline is December 1, 2024

Nominee Information

Nominator Information