KATS Service Award Nomination Form
This person has shown a history of service and significant contributions to the profession of athletic training in the state of Kansas or KATS. This individual does not have to be an athletic trainer; other healthcare professionals, legislators, physicians, or administrators can also qualify. Nominations may be made by any current KATS member using the attached nomination form. Nominations are accepted until September 1st and the winner will be recognized at the KATS November Symposium.
Nominee Name *
Your answer
Years Certified *
Your answer
Years as NATA member *
Your answer
Years of practice in the state of Kansas *
Your answer
Service to the profession in the state of Kansas (please explain in detail involvement and time commitment) *
Your answer
Service to the profession in the state of Kansas (please explain in detail involvement and time commitment) *
Your answer
Service to KATS (please explain in detail involvement and time commitment) *
Your answer
Please provide any other necessary information that the KATS Executive Board should know about the nominee *
Your answer
Nominator Name *
Your answer
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