LVMA Award Nominations - Dr. Everett D. Besch Distinguished Service Award

This award was formerly the LVMA Service Award. It was established to recognize outstanding service to the community and veterinary profession.

Nominations for this award must be made by two LVMA members.

Those eligible for the award are in two categories:

Veterinarians who have made an outstanding contribution to their community.
Non-veterinarians who have made an outstanding contribution to veterinary medicine.

Question Title

* 1. Nominee Information:

Name

Address

City, State ZIP

Office Phone

Question Title

* 2. Describe an outstanding contribution to the community (if nominee is a veterinarian):

Question Title

* 3. Describe an outstanding contribution to veterinary medicine (if nominee is not a veterinarian):

Question Title

* 4. Nominated by

Your Name

Your Phone Number

Your Email Address