2025 EDPMA Award Nomination Form

EDPMA believes in celebrating the exceptional contributions and achievements that drive innovation and excellence for EDPMA and the business of emergency medicine.  
 
Each year, EDPMA recognizes member excellence through its awards program.  
 
Help us highlight accomplishments by nominating a colleague or peer.  
1.Award Nominee Name and Credentials:(Required.)
2.Award Nominee Company:(Required.)
3.Award Nominee Title:(Required.)
4.Award Nominee Phone:(Required.)
5.Award Nominee Email:(Required.)
6.Nominating For Which Award:(Required.)
7.How has this person served EDPMA and / or the business of emergency medicine? 300 words max.(Required.)
8.Why are you nominating this person? 300 words max.(Required.)
9.Anything else we should know?
10.Nominator Name and Credentials:(Required.)
11.Nominator Company:(Required.)
12.Nominator Title:(Required.)
13.Nominator Phone:(Required.)
14.Nominator Email: (Required.)