Distinguished Service Award
This award shall be given to members who have made significant contributions to the IAHPERD.

Qualification of candidates:
a. The recipient has held IAHPERD membership for five years.
b. Experience: At least five years as a teacher, supervisor, administrator or combination of the same in the field of health, physical education, recreation, or dance.
c. Service: Outstanding professional contributions to IAHPERD.
Name of Nominee *
Nominee Email Address *
Nominee Phone Number *
Years of IAHPERD Membership *
Work Experience (Please list Position(s) Held, Location and Years) *
Professional Contributions to IAHPERD *
Form Submitted By *
Submitters phone number *
Connections to Nominee *
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