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* 1. Do you know a pilot who deserves to be recognized and awarded for:

Fill out the nomination form below to recognize a pilot for
Pilot of the Year or William T Winn Lifetime Achievement Award
Please forward this nomination form to all air medical personnel and programs that you know.
Awards will be presented at AMTC November 2019 in Atlanta, GA. Deadline to submit is August 30!
Thank you for helping to recognize outstanding pilots! 

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* 2. Nomination for:

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* 3. Submitter Information

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* 4. Nominee Information

Please provide specific details for each of the following categories, as to why your nominee should be chosen.
If you do not have a response for a certain category, please enter "N/A". 

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* 5. Professionalism

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* 6. Technical Expertise

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* 7. Safety Aptitude

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* 8. Leadership/Mentoring

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* 9. Other Comments

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* 10. You may attach supporting documentation here 

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
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