2007 AZAALAS Member of the Year Nomination Form

Anyone nominated for the Member of the Year award has shown the following qualities:

  • Encouraging active participation within the branch;
  • Works diligently to meet deadlines, regardless of other daily obligations;
  • Volunteers to assist fellow members and provide support when needed;
  • Promotes education through meeting attendance along with active membership in the branch.

Exceptional accomplishments may include: measures to encourage animal welfare in research, active participation in the local and national organizations for continued education, any paper presentation, articles or awards received to recognize exceptional contributions to the field of laboratory animal science along with active participation in community education and support.

Fill out as much of this form as you can then the branch will have the rest completed.

NAME OF NOMINEE:

PLACE OF EMPLOYMENT:

JOB TITLE:

LIST AND DESCRIBE ANY SERVICE (s) CONTRIBUTED TO THE BRANCH:

LIST AND DESCRIBE ANY OTHER ANIMAL RELATED ACTIVITIES:

NAME OF NOMINATOR:

DATE:

TELEPHONE NUMBER:

RETURN THE COMPLETED APPLICATION  BY 10/15/07

You should receive confirmation of receipt in a couple days


If you are unable to submit online you can fax to (520)621-3355 or mail to:
Arizona AALAS
P.O. Box 210101
Tucson, AZ  85721

Revised: 08/03/2007 gea