2019 Professionals Excellence Award Nomination

Any member or non-member colleague may submit this recommendation.  

 

Criteria for selection

1. Have been a Voting Member of the Academy for 10 or more years.

2. Meet one or more of the following criteria:

  • Participated in public speaking, presenting public talks promoting CrMS
  • Been directly involved in outreach
  • Supports the Creighton Model philosophy
  • Current or past AAFCP Committee Chairman
  • Current or past AAFCP Board Member

3. May be retired

REQUIRED

Has/had this individual been an Active Member for 10 or more years?

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REQUIRED

Has this individual made an outstanding contribution to the Creighton Model FertilityCare System, service, education and /or research by meeting one or more of the criteria below?

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Please provide examples of how the following applicable criteria are met.

REQUIRED

A. Participated in public speaking, presenting public talks promoting the Creighton Model FertilityCare System*

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B. Is directly involved in outreach*

REQUIRED

C. Supports the Creighton Model philosophy*

REQUIRED

D. Past AAFCP Committee Chairman*

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E. Past AAFCP Board Member*

REQUIRED

Name of nominee*

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Reason for nomination*

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Your name*

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Your email*

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Your phone number*

REQUIRED

Your address*
Submit