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:

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* 2. Current President:

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* 3. President’s email address:

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* 4. President's Telephone:

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* 5. Mailing address:

Nominator Information:

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* 6. Nominator's Name:

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* 7. Title:

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* 8. Company/Affiliation:

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* 9. Email Address:

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* 10. Phone Number:

Award Criteria

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* 11. Does your association participate with AAMI's HTMA Collaborative?

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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.

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* 13. List any unique solutions your association has implemented to affect the HTM field in your area.

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* 14. Please highlight any other activities or initiatives relevant to this award and to the association's achievements.

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