Distinguished Member Award

Submissions due by August 31

The Distinguished Member Award is bestowed upon a member who has made significant contributions to the NCVPRN Joint Affiliate/AACVPR. This person has served on committees (either as a member or chairman), has served in leadership roles (as executive board or committee chairman), attends state &/or national conferences on a regular basis, and is committed to advancing Cardiac & Pulmonary Rehab in our state and on a national level. This individual may have also served AACVPR as a committee member or officer. They are known to others through their leadership, enthusiasm, and dedication to NCVPRN/AACVPR.

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* 1. Name of Nominee

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* 2. Nominee Employer

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* 3. Nominee Position:

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* 4. Nominee Contributions to the NCVPRN

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* 5. Nomination by:

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* 6. Nominee Address:

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