Medical Laboratory Observer 55 under 55 Nomination Form

Nominate yourself or someone you know deserving of this award by filling out the form below.

To celebrate MLO’s 55th anniversary, Medical Laboratory Observer magazine is having a 55 under 55 recognition for professionals working in the laboratory industry who are making a significant contribution to their organization’s success.

To qualify for Medical Laboratory Observer 55 under 55 recognition, nominees must be 55 years old or younger as of December 31, 2024. You may recommend anyone you feel deserves it, and you are welcome to nominate yourself.

Winners will be chosen by Medical Laboratory Observer's editorial team and staff. Winners will be announced in the August issue of Medical Laboratory Observer magazine. Additional recognition will be featured on the MLO website and via social media. All winners will also be given a special 55 under 55 image for their email signature and social media.

Winners will be contacted by Medical Laboratory Observer.

Nomination Deadline: May 31, 2024

Nominator Information

Question Title

* 1. Nominator contact information

Nominator (full name)

Company/ Business

Position/Title

Phone Number

Email Address

Nominee Information

Question Title

* 2. Nominee contact information

Name

Company

Address

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

Medical Laboratory Observer 55 under 55 Nomination Form

Nominate yourself or someone you know deserving of this award by filling out the form below.

Question Title

* 1. Nominator contact information

Question Title

* 2. Nominee contact information

Question Title

* 3. Position Title

Question Title

* 4. Why is this candidate a good fit for 55 under 55 (e.g., Professional Accomplishments)? (Maximum of 500 Words)

Question Title

* 5. How does the candidate show commitment to the industry and bettering their professional career? (Maximum of 500 words)