Nomination Form

Please provide the information you have, we can do the rest. Thank you for nominating!

Candidate's Name

First Name

Last Name

Candidate's Phone

(###)

###

####

Candidate's Email Address

Employer

Why are you nominating this individual?

service, awards, committee representation, etc

Which award are you nominating the individual for?

UATA Hall of Fame

Most Distinguished

College AT of the Year

Secondary School AT of the Year

Clinic/Other AT of the Year

Educator of the Year

Athletic Trainer Advocate

Nominator's Name

your name

First Name

Last Name