2026 NSRC Respiratory Therapist of the Year Nominations Survey

Nomination deadline March 10th, 2026

Please fill out the information as completely as possible.

1. Your nominee for Respiratory Therapist of the Year, MUST be an AARC member and be a licensed Respiratory Therapist in the state of Nebraska.

2. The essay about your nominee must include information on 2 separate character attributes from the following: Patient/Customer Focus, Professionalism, Teamwork, and Quality and Innovation.

3. Fill out the contact information completely for you and your nominee.

4. All nominations will be thoughtfully reviewed by the NSRC board, the nominee who the NSRC board feels best embodies the character attributes defined will be selected as the 2026 NSRC Respiratory Therapist of the Year.

Questions regarding this survey can be sent to Jason Erhart, NSRC Awards Committee Member at jason.erhart@commonspirit.org, or Darcy O'Brien-Genrich, NSRC President at DOBrien-Genrich@nebraskamed.com
Thank you for your nomination.

1.Person submitting the nomination. We may need to contact you regarding your nomination.(Required.)

Name:

Address:

City/Town:

State:

Zip:

E-mail Address:

Phone number:

2.Nominee Name and Respiratory Credentials(Required.)

Name & Credentials

Nominee's AARC Number

3.Nominee Contact Information(Required.)

Company Nominee works for:

Address:

City/Town:

State:

Zip:

Nominee's E-mail Address:

Nominee's Phone Number:

4.Please include information on 2 of following attributes about your nominee:

Patient/Customer Focus: Explain how the nominee has performed "beyond the call of duty" to provide safe and compassionate patient care?

Professionalism: Describe the nominee's professionalism and dedication to their patients, colleagues, organization, community, state, and/or national professional organization.

Teamwork: Give a narrative that demonstrates the nominee's "spirit of teamwork."

Quality and Innovation: Tell the nominee's story on developing ideas, projects, initiatives, that resulted in benefits for their patients, organization, community, or state.
(Required.)