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If you would like to nominate a colleague for one of the awards below, Download and print the Award Nomination Form and submit it to the office by June 30th, 2010. nomination form for june 30, 2010
ILOTA AWARDS NOMINATIONS
Award of Appreciation: expresses appreciation to ILOTA members or individuals who are not OTs for extraordinary contributions to the advancement of our profession in Illinois.
Award of Merit: honors a member of ILOTA whose actions have shaped the course of occupational therapy and thus contributed significantly to its growth and development of Illinois.
Board Award of Merit: recognizes members of the ILOTA Board who have made outstanding contributions toward facilitating board business.
OTA of the Year: recognizes the outstanding contributions of an OTA
.OT of the Year: recognizes the outstanding contributions of an OT.
Public Awareness Award: recognizes members of ILOTA and non-members who have increased public awareness and understanding of occupational therapy through the media or in the political arena.
Award Nominated:_____________________________________
Name of Nominee:_____________________________________
Address:_____________________________________________
City:_________________________State:____ Zip:__________
Telephone: (H)_______________ (W)_____________________
IOTA Membership: Yes __ No __ Unknown __
Name of Nominator:___________________________________
Address:_____________________________________________
City:________________________State:____Zip:____________
Telephone: (H)_______________ (W)_____________________
Please enclose a letter of support why this individual deserves the award they are being nominated for.Submit by June 30, 2010
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