California Academy Monthly Spotlight Nomination Form

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Thank you for your interest in recognizing outstanding nutrition professionals. Please note that nominees must reside in California and be current Academy of Nutrition and Dietetics members.

1. Who are you nominating?

2. Which category best describes the nominee?

Registered Dietitian Nutritionist (RDN)

Nutrition & Dietetics Technician, Registered (NDTR)

Student

Preceptor

Other:

3. What is the nominee's current job title or role?

4. Organization or school:

5. Why are you nominating this person?

Tell us what makes this person exceptional. What impact have they made on patients, students, colleagues, or the community?

6. To the best of your knowledge, does the nominee reside in California and are they a current Academy of Nutrition and Dietetics member?

Yes

I'm not sure

7. Your name: *

8. Your email: *

9. Nominees contact email:

10. Anything else you would like us to know?

Submit

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