RT of the Year Nomination Form

It is time once again for “RT of the Year” nominations!  Please consider nominating fellow RTs for their outstanding contributions to the field of Respiratory Care.  This is an annual award and the recipient will be recognized at the NRRCC annual awards luncheon.  

Fill out the form below to nominate an RT.  

Due date for nominations:  March 24, 2017

Thank you!

Your Name (required)

Telephone (required)

Nominee Name (required)

Employer (required)

Position (required)

Years of Experience (required)

Credentials (required)

Professional Organization Involvement: (MSRC, ALA, AARC, etc.)

Professional Interests/Activities

Community Involvement

Professional Accomplishments: (publications, awards, etc.) during the past year

In the space below please write a brief description of why this person is deserves to be chosen for this award. DO NOT USE THE PERSON’S NAME IN YOUR DESCRIPTION