AAMI Young Professional of the Year Award
AAMI’s Young Professional of the Year Award This award is presented annually to a professional, under the age of 35, who exhibits exemplary professional accomplishments and a commitment to the healthcare profession. 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 $1,000 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 Young Professional 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 is committed to being a positive role model for the profession and peers. □ Nominee is currently under the age of 35. □ Nominee has been employed in the healthcare field for 3 years or more. □ Nominee demonstrates commitment to the advancement of the profession by writing
articles, participating on committees and/or speaking at industry events. Please describe activities in one sentence:
Nominees should meet the following criteria:
□ Nominee actively participates with AAMI and/or other local, state or national organizations. Please list the affiliated organizations:
□ Describe specific examples of professional leadership that the nominee demonstrated:
Additional Instructions and Information Entries for the AAMI Young Professional of the Year Award must include:
□ □ □ □
Nominator’s cover letter that provides a rationale statement describing the nominee’s exemplary professional accomplishments and dedication to the healthcare profession, highlighting published work and committee involvement. Completed this Young Professional of the Year Award entry form. A current CV/Resume for the nominee. One 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 Young Professional 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 Young Professional 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 is committed to being a positive role model for the profession and peers. □ Nominee is currently under the age of 35. □ Nominee has been employed in the healthcare field for 3 years or more. □ Nominee demonstrates commitment to the advancement of the profession by writing
articles, participating on committees and/or speaking at industry events. Please describe activities in one sentence:
Nominees should meet the following criteria:
□ Nominee actively participates with AAMI and/or other local, state or national organizations. Please list the affiliated organizations:
□ Describe specific examples of professional leadership that the nominee demonstrated:
Additional Instructions and Information Entries for the AAMI Young Professional of the Year Award must include:
□ □ □ □
Nominator’s cover letter that provides a rationale statement describing the nominee’s exemplary professional accomplishments and dedication to the healthcare profession, highlighting published work and committee involvement. Completed this Young Professional of the Year Award entry form. A current CV/Resume for the nominee. One 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 Young Professional of the Year Award Application Form
Page 2
