DVMA Annual Awards Nomination Form
Your Full Name
*
Your Email Address
*
Nominee's Full Name
*
Nominee's Email Address or Phone Number
Owner's Name (Animal Hero Awards)
Award Category
*
Dr. Richard H. Long Lifetime Achievement Award
H. Wesley Towers Veterinarian of the Year Award
Veterinary Technician of the Year Award
Animal Hero - HERO
Animal Hero - SERVICE/WORKING
Animal Hero - COMPANION
Animal Hero - THERAPY
Reason for Nomination
*
How did you hear about this award?
*
Mailing
Social Media
Veterinarian
DVMA Website
Email
Other
Letter of Recommendation from DVMA Member #1 (Lifetime Achievement Award)
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Letter of Recommendation from DVMA Member #2 (Lifetime Achievement Award)
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Letter of Support from Veterinarian (Animal Hero Award)
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Photo #1
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Photo #2
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Photo #3
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Submit
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