AAMI & GE Healthcare's BMET of the Year Award
AAMI & GE Healthcare’s BMET of the Year Award This award is given to a biomedical equipment technician (BMET) to recognize individual dedication, achievement, and excellence in the field of healthcare technology management. Note: Nominees may not be self-nominated for this award. The prize consists of a plaque to be presented at the 2017 AAMI Annual Conference and Expo in Austin, Texas and a $1,500 check.
Nominee Information Nominee’s name: Title: Company/Affiliation: Mailing address: Phone number:
Email address: * If the nomination is for a group or team, please attach a sheet with the above information for each member of the group/team.
Nominator Information Nominator’s name: Title: Company/Affiliation: Mailing address: Phone number:
Email address:
All information pertaining to this nomination must be received by February 3, 2017 Electronic submissions are encouraged to [email protected]. Paper submissions are also accepted. Nomination information can be mailed to: Allison Rafti, AAMI, 4301 N Fairfax Dr., Suite 301, Arlington, VA 22203
2017 AAMI & GE Healthcare’s BMET of the Year Award Application Form
Page 1
Award Criteria Please confirm the nominee’s eligibility by checking the appropriate box and attesting to their eligibility: Nominees must meet the following criteria:
□ Nominee demonstrates achievement and sustained excellence through specific contributions to the profession.
□ Nominee has obtained ICC Certification: Please specify, CBET, CRES and/or CLES: □ Nominee has been employed in the HTM field for 5 years or more. □ Nominee is currently serving in a technician/technologist role. Please list the percentage
of time spent in a direct technician/technologist role in their current position: _________
Nominees should meet the following criteria:
□ Nominee actively participates in a local, state, or national HTM organization. Please list the affiliated organizations and role:
□ Nominee has made contributions to share knowledge and experience through speaking engagements or authorship of articles related to HTM. Please list published articles:
□ Nominee has made contributions to share knowledge and experience through speaking engagements or authorship of articles related to HTM. Please list published articles:
Additional Instructions and Information Entries for the AAMI & GE Healthcare BMET of the Year Award must include:
□ □ □ □
Nominator’s cover letter that provides a rationale statement describing the nominee’s role in special projects or studies that have made a difference to the field as well as any HTM challenge or problem they worked to resolve while highlighting their excellence in the HTM field. This completed BMET of the Year Award entry form. A current CV/Resume for the nominee. Two or more letters of recommendation (hard-copy or email format) supporting this nomination from supervisors, colleagues, and industry partners. The above information must be received by February 3, 2017. See reverse side for submission instructions.
2017 AAMI & GE Healthcare’s BMET of the Year Award Application Form
Page 2
Nominee Information Nominee’s name: Title: Company/Affiliation: Mailing address: Phone number:
Email address: * If the nomination is for a group or team, please attach a sheet with the above information for each member of the group/team.
Nominator Information Nominator’s name: Title: Company/Affiliation: Mailing address: Phone number:
Email address:
All information pertaining to this nomination must be received by February 3, 2017 Electronic submissions are encouraged to [email protected]. Paper submissions are also accepted. Nomination information can be mailed to: Allison Rafti, AAMI, 4301 N Fairfax Dr., Suite 301, Arlington, VA 22203
2017 AAMI & GE Healthcare’s BMET of the Year Award Application Form
Page 1
Award Criteria Please confirm the nominee’s eligibility by checking the appropriate box and attesting to their eligibility: Nominees must meet the following criteria:
□ Nominee demonstrates achievement and sustained excellence through specific contributions to the profession.
□ Nominee has obtained ICC Certification: Please specify, CBET, CRES and/or CLES: □ Nominee has been employed in the HTM field for 5 years or more. □ Nominee is currently serving in a technician/technologist role. Please list the percentage
of time spent in a direct technician/technologist role in their current position: _________
Nominees should meet the following criteria:
□ Nominee actively participates in a local, state, or national HTM organization. Please list the affiliated organizations and role:
□ Nominee has made contributions to share knowledge and experience through speaking engagements or authorship of articles related to HTM. Please list published articles:
□ Nominee has made contributions to share knowledge and experience through speaking engagements or authorship of articles related to HTM. Please list published articles:
Additional Instructions and Information Entries for the AAMI & GE Healthcare BMET of the Year Award must include:
□ □ □ □
Nominator’s cover letter that provides a rationale statement describing the nominee’s role in special projects or studies that have made a difference to the field as well as any HTM challenge or problem they worked to resolve while highlighting their excellence in the HTM field. This completed BMET of the Year Award entry form. A current CV/Resume for the nominee. Two or more letters of recommendation (hard-copy or email format) supporting this nomination from supervisors, colleagues, and industry partners. The above information must be received by February 3, 2017. See reverse side for submission instructions.
2017 AAMI & GE Healthcare’s BMET of the Year Award Application Form
Page 2
