2010 AZAALAS Technician of the Year Nomination Form

Anyone nominated for the Technician of the Year award must demonstrate a positive attitude and a dedicated approach to the betterment of animal care through technical performance and education at your facility.

Individual accomplishments may include:

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.
• Demonstrates devotion in personal time to assist in organization of programs, workshops, and other functions provided by the branch. 
• Encourages 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.
• Seeks education through meeting attendance along with active membership in the branch are viewed important for continued growth in the field of laboratory animal science. 

Fill out as much of this form as you can

NAME OF NOMINEE:

PLACE OF EMPLOYMENT:

JOB TITLE:

LEVEL OF CERTIFICATION:
     AALAS Assistant Lab Animal Technician (ALAT):
    AALAS Laboratory Animal Technician (LAT):
    AALAS Laboratory Animal Technologist (LATG):
    Certified Veterinary Technician:
    Other:

Educational Background:                                                             Diploma/Degree (Check)

Special Courses:       

Years Working with Laboratory Animals or in the Laboratory Animal Field:

Describe Nominee's Participation in the Animal Care Field Outside of Work (ie. docents at the zoo, presenting papers at meetings, teaching training sessions, clubs, memberships, etc.):

Proficiencies (accomplishments, contributions, continuing education, AALAS participation, etc.):

Reasons why you feel this person should be considered for this award (consider aspects such as character, personal habits, interest in advancement of self and animal care, job efficiency, and overall knowledge of laboratory animal science): 

Name & Email of 3 possible recommendations: (Please include their supervisor)

1.Name: Email:

2.Name: Email:

3.Name: Email:

NAME OF NOMINATOR:

DATE:

TELEPHONE NUMBER:

RETURN THE COMPLETED APPLICATION  BY 9/30/10

You should receive confirmation of receipt in a couple days