Call for Nominations

Theriogenologist of the Year Award

The American College of Theriogenologists is seeking nominations for an award which recognizes a theriogenologist for recent, outstanding contribution(s) to the discipline of theriogenology.

The award is accompanied by a plaque and monetary honorarium of $1,500.

Qualifications include:

a. ACT Diplomate in good standing
b. Has made recent, outstanding contribution(s) to the discipline of
Theriogenology.
1. In most cases the contribution(s) will have been made within the past 5 year period.
2. Outstanding contribution(s) may take many forms and will be judged in part on furthering
awareness and understanding of the discipline of Theriogenology and Theriogenologists, including
mentorship and training.
3. Note: The award is not intended to recognize career achievement.

Nominations may only be submitted by ACT Diplomates or SFT members.

Nominators must submit:

1. Theriogenologist of the Year Award Nomination Form.
2. Narrative (max 1500 words) justifying the nomination and describing in detail the nominee’s contribution(s) to the discipline of Theriogenology.
3. Letters of support from 2 of the nominee’s peers familiar with and capable of commenting on the nominee’s contribution(s).
4. Specific documents (if necessary) or references to documentation validating the nominee’s contribution(s).
5. Current curriculum vitae from nominee.
4. Deadline for submission of all materials – November 15th.

Candidate's Full Name *
Candidate's Employer *
Candidate's Home Phone Number		Candidate's Business Phone *
Candidate's Email *
Nominator's First Name		Nominator's Last Name *
Organization
Work Address Line 1 *
Work Address Line 2
City *		Location *
Zip/Postal Code *		Country *
Phone Area Code *		Phone *
Nominator's alternate phone number
Narrative *Narrative (max 1500 words) justifying the nomination and describing in detail the nominee’s contribution(s) to the discipline of Theriogenology.
Letter of supportLetters of support from two of the nominee’s peers familiar with and capable of commenting on the nominee’s contribution(s).
2nd letter of supportLetters of support from two of the nominee’s peers familiar with and capable of commenting on the nominee’s contribution(s).
Letter of support - file upload optionLetters of support from two of the nominee’s peers familiar with and capable of commenting on the nominee’s contribution(s).
2nd letter of support - file upload optionLetters of support from two of the nominee’s peers familiar with and capable of commenting on the nominee’s contribution(s).
ReferencesSpecific documents (if necessary) or references to documentation validating the nominee’s contribution(s).
Upload CVCurrent curriculum vitae from nominee.

American College of Theriogenologists

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Call for Nominations

Theriogenologist of the Year Award

Qualifications include:

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