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* 1. Your Name

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* 2. Name of the person that you nominate 

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* 3. Job/Title of the nominee

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* 4. Program/Department

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* 5. School or Company

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* 6. Address:

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* 7. City, State, Zip

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* 8. Phone number

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* 9. Email

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* 10. Please state (100-150 words) why the person you are nominating should be considered as CHIA Healthcare Interpreting Trainer/Educator of the Year Award. Please take into account the following: collaboration at CHIA Annual Conferences or regional workshops/presentations; integration of CHIA Standards and Codes of Ethics in training curricula; acting as an ambassador for healthcare interpreting and promoting affiliation with CHIA.

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