New Mexico Chapter Awards

Nominator First Name

Nominator Last Name

Nominee First Name

Nominee Last Name

Your email address

Award You Are Nominating:

Select or enter value

Nomination Letter Upload

Feel Free to include:

Professional Accomplishments: Detail the nominee's relevant achievements, emphasizing how these align with the award criteria.
Examples and Anecdotes: Provide specific examples or anecdotes that demonstrate the nominee’s qualifications and impact.
Testimonials: Include quotes or testimonials from colleagues, supervisors, patients, etc who can attest to the nominee's qualifications and impact.

Drag and drop files here or

Send me a copy of my responses