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* 1. Your Name

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* 2. Name of the Interpreter that you nominate

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* 3. Job/Title of the nominee 

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* 4. Program/Department

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* 5. School or Company

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* 6. Address

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* 7. City, State, Zip

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* 8. Phone number

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* 9. Email

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* 10. Please state (100-150 words) why the person you are nominating should be considered as CHIA Healthcare Interpreter of the Year. Please take into account criteria such as: professionalism, including adherence to ethics and standards of conduct; acting as an ambassador for the profession, demonstration of superior interpreting skills, and volunteerism.

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