The ABIH® Impact Award is awarded to a Certified Industrial Hygienist® or Certified Associate Industrial Hygienist® who has made a significant contribution to the practice of occupational and environmental hygiene.

* 1. Nominee’s Information

Briefly describe the Nominee’s Occupational and Environmental Hygiene accomplishments, work, and contributions which resulted in a significant impact on the profession in the last five (5) years.

* 2. Written Justification

* 3. By typing my name below, I certify that the above information is true and accurate to the best of my knowledge.