Young Professionals’ Committee National Distinction Award - Nomination Form

Name: *

Email Address: *

Address: *

Primary phone: *

Work fax:

Name of Nominee: *

Nominee Email Address:

Nominee Education:

Bachelor

Masters

Doctorate

Nominee Credentials:

Nominee Current Position/Title:

Place of Employment:

Nominee Address:

Nominee Primary Phone:

NATA Membership:

Member of the NATA for at least three years?

BOC Status:

Certified by the Board of Certification?

Age:

Age 35 years or younger at time of nomination?

Years of athletic training experience?: *

Letter of Recommendation:

Please address correspondence and letters to: Todd Christman, NATA Staff Liaison to YPC, 2952 Stemmons Freeway, Dallas, TX, 75247 or email your materials to toddc@nata.org
The sponsor will receive a conformation letter if the nominee is accepted
Please allow up to10 to 14 business days for processing
It is the sponsor’s responsibility for collecting and electronically submitting the letters of recommendation once the nominee is accepted

Please write letters of recommendation based on the YPC National Distinction Award description
Please consider including all supporting information about the nominee, personal & professional qualifications, in the letters of recommendation
Three letters of recommendation are the only documents used to select the recipient
Please do not send any additional materials or documents, they will not be considered
The YPC will not contact the nominee unless they are selected for the award

Applications must be postmarked by December 1.