ADAA 2026 Call for Member Awards Survey

1.Please select the award you are submitting a nomination package for. (You may submit nominations for multiple awards. Please compile a separate nomination package and complete a separate survey monkey entry for each award).(Required.)

ADAA President's Award of Excellence

ADAA Pride Awards: Clinical Assistant

ADAA Pride Awards: Business/Administrative Assistant

ADAA Pride Awards: Educator

ADAA Pride Awards: Federal Services Air Force Member

Loyal Assistant Award

New Member Involvement Award

2.Please complete the Nominee information below. All fields are required.(Required.)

First and Last Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

3.List Nominees Credentials:

4.Nominee's Employment Information(Required.)

Current Employer:

Position:

Years Employed:

Employers Address:

Employers City:

Employers State:

Employers Zip:

Employers Phone:

Employers Email Address:

5.Education (Post high school) and Date Graduated:(Required.)

6.ADAA National, State, and Local Positions Held/Dates:
(List offices held, the organization with which the office was held, and the years when the office was held.)(Required.)

Office/Position #1

Office/Position #2

Office/Position #3

Office/Position #4

Office/Position #5

Office/Position #6

Office/Position #7

Office/Position #8

Office/Position #9

7.Attach letter(s) of recommendation in PDF format. If more than one, please combine them into one document prior to upload. Please adhere to the following naming convention when uploading your document. Please use the first and last name of the nominee: First Name_Last Name_2026_Name of the Award_Application. Incomplete applications will not be accepted.(Required.)

No file chosen

8.Nominator Information. All fields are required.(Required.)

First Name

Last Name

Email Address

9.Submitted by:(Required.)

10.Submitters Email Address:(Required.)

11.I affirm and certify that all the information and answers to questions herein are complete, true and correct to the best of my knowledge and belief. I understand that any misrepresentation, falsification, or omission of any facts called for in the nomination application may render this nomination application void.(Required.)

Yes, I affirm

ADAA 2026 Call for Member Awards

Member Awards Submission Information