Distinguished Service Award Nomination

Distinguished Service Award: Persons nominated for this award shall be optometrists, members of the Nebraska Optometric Association, who, over a span of years, have rendered outstanding and exemplary service to their community and profession, and who have distinguished themselves as exemplary citizens and optometrists of the state of Nebraska.

Nomination Deadline: August 1, 2017 - The award recipient will be announced at the NOA Annual Fall Convention.

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* 1. Nominee's Information: 

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* 2. Service to NOA or AOA:
(Service as an officer, committee chair or member, etc.; Promotion of the association's goals and programs; Activity in support of the association's projects, Involvement in public information activities)

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* 3. Service to Optometry:
(Contributions of personal effort and time on behalf of the profession's advancement)

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* 4. Special Service:
(Involvement on behalf of the profession of optometry in such areas as interprofessional health care organizations, committees boards or groups; interprofessional groups outside of health care; national, regional or international health care or other organizations and committees; public health in a leadership role; military in a health care leadership role; political service or political involvement)

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* 5. Person submitting nomination:

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