Pilot of the Year and Lifetime Achievement Award Nominations - 2020

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* 1. Do you know a pilot who deserves to be recognized and awarded for:

going the extra mile, doing the right thing, always making safety a priority and working hard to get you home at the end of your shift (Pilot of the Year)

making a contribution to the air medical industry for some time, through their professionalism, technical expertise, safety focus, and leadership (Lifetime Achievement)

Fill out the nomination form below to recognize a pilot for
Pilot of the Year or William T Winn Lifetime Achievement Award.
Please forward this nomination form to all air medical personnel and programs that you know.

Deadline to submit is September 15!
Thank you for helping to recognize outstanding pilots!

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* 2. Nomination for:

Pilot of the Year Award

William T Winn Lifetime Achievement Award

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* 3. Submitter Information

Name

Program

Position

Phone

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* 4. Nominee Information

Name

Program

Position

Total # Years Flying

# Years Flying EMS

Aircraft Type (Rotor / Fixed)

Please provide specific details for each of the following categories, as to why your nominee should be chosen.
If you do not have a response for a certain category, please enter "N/A".

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* 5. Professionalism

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* 6. Technical Expertise

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* 7. Safety Aptitude

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* 8. Leadership/Mentoring

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* 9. Other Comments

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* 10. You may attach supporting documentation here

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

Choose File