2019 Outstanding Practitioner/Instructor Award Nomination

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

Criteria for selection

Individual must be a Voting Member of the Academy in good standing and a Certified FertilityCare Practitioner or Instructor.
Must have a current practice in FertilityCare i.e. has taught an accredited model of FertilityCare to at least 10 couples in the past year.
The individual has made an outstanding contribution to FC through service, education and/or research.
Any member or non-member colleague may submit this recommendation.

Name of nominee*

Reason for nomination*

Please select the applicable criteria that the nominee meets:

Developed and/or administrates an accredited FertilityCare service program.
Developed and/or administrates an accredited FertilityCare education program
Is the principal investigator of practice-based FertilityCare research that has been published in a recognized professional journal.
Maintains a large FertilityCare practice under adverse conditions.

Your name*

Your email*

Your phone number*

Your address*

Submit