HTM Association of the Year Award
PRO TIPS:
Please fill out the following form carefully and completely, noting all of the required fields.
All email addresses must be in valid xx@xx.xx format.
Your nomination is only submitted once you have reached a screen with a green top bar saying “Thank you for taking this survey”.
Files and supplemental materials may be emailed to
awards@aami.org
.
Please direct any questions or support needs to
awards@aami.org
.
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1.
Association Name:
(Required.)
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2.
Current President:
(Required.)
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3.
President’s email address:
(Required.)
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4.
President's Telephone:
(Required.)
*
5.
Mailing address:
(Required.)
Nominator Information:
*
6.
Nominator's Name:
(Required.)
*
7.
Title:
(Required.)
*
8.
Company/Affiliation:
(Required.)
*
9.
Email Address:
(Required.)
*
10.
Phone Number:
(Required.)
Award Criteria
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11.
Does your association participate with AAMI's HTMA Collaborative?
(Required.)
Yes
No
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12.
List any specific association activities that enhanced the HTM field on a local level. Include activities that provided advanced education, training, and networking opportunities for the association's members as well as community service activities. Please include a short description of each activity.
(Required.)
*
13.
List any unique solutions your association has implemented to affect the HTM field in your area.
(Required.)
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14.
Please highlight any other activities or initiatives relevant to this award and to the association's achievements.
(Required.)
