ASA Section Awards Form

ASA Section Awards Form
Only section chairs and treasurers are elgible to fill out this form.

Please let your recipient(s) know they will need to provide the information listed on the prior page through ASA’s secure portal.

Again, note that award/scholarship payments will not be processed until this is received.
Submitter*

First NameLast Name
Submitter's email*
ASA Member Number*
Recipient*

First NameLast Name
Recipient's email*
example@example.com
Section Award (select addition sections if a joint award by holding the CTRL button)*
Award includes (select all that apply by holding the CTRL button)*
Award amount
Special instruction (i.e. specific account code splits)
Certificate wording (to be picked up at JSM Help Desk if submitted by June 1st)
This form will be sent to Awards@amstat.org for approval.
Should be Empty: