New Member (Rookie) Award

Submissions due by August 31

The New Member (Rookie) Award is designed to acknowledge a member who has joined the NCVPRN Joint Affiliate within the past 5 years. During this time, they have demonstrated a strong commitment to our network. This individual regularly attends all conferences, takes an active role in the AACVPR membership/webcasts, and offers to help with activities of NCVPRN. Ideally, they have been a part of a committee or have shown commitment to our organization through other avenues (assisting with conference planning/CCRP/Program Certification, etc).

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* 1. Name of Nominee

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* 2. Nominee Employer

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* 3. Nominee Address:

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 4. Nominee Position:

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* 5. Nominee Contributions to the NCVPRN

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* 6. Nomination by:

Name

Date:

Email:

Phone: