TVMA AWARDS NOMINATION FORM

TVMA Awards

Nominations must be received by TVMA no later than October 15. Visit www.tvma.org/Practice/TVMA-Awards for award criteria and a list of previous winners.

QUESTIONS? Contact TVMA Associate Director Angela Russell by phone 512-610-6655 or email arussell@tvma.org.

Practitioner of the Year Award Nomination Form
Award Nominee First Name
Last Name
Suffix
Award Category for This Nominee
Nominee's Clinic or Organization
Nominee's Email Address
Nominee's Phone Number
Area CodePhone Number
First Name of Nominator
Last Name
Suffix
Nominator's Email Address
Nominator's Phone Number
Area CodePhone Number
Relationship to Nominee
Provide the names of two colleagues who do not work for the nominee who could provide more information about the nominee if needed.
Upload a letter of support below or send to TVMA by October 15. Attachment must be a Word doc or pdf. To upload, select "Add Files," choose your file, and then "Start Upload." If successful, you will see a green checkmark under Status.
Filename
Size
Process
Status
Add Files Start Upload

TVMA AWARDS NOMINATION FORM

TVMA Awards

Practitioner of the Year Award Nomination Form