UCAOA Community Service Award
Share |

Community Service 

 

Noteworthy medical contributions by a volunteer individual, organization, or exhibitor that have had a positive impact on the health of a community are recognized through this award. Nominees must be members of UCAOA. 

Before completing this form, please ensure that the nominee meets the following criteria:

  • Nominee must be a UCAOA Member
  • Nominee's services must have positively impacted their community
  • Nominee must verify/provide proof of acts of service
  • Nominee cannot be a current member of the UCAOA Awards Committee nor Board of Directors

Instructions

  • All required fields are marked with a red asterisk (*)
  • Any field name that is underlined has additional instructions/details
  • Please do not nominate one person for multiple categories. The Awards Committee can determine if the nominee is eligible for more than one award. 
  • Deadline to Nominate: 5pm on February 27, 2017
  • If you have questions, please send an email to agarrido@ucaoa.org

Membership Management Software Powered by YourMembership  ::  Legal