2019 Instructor of the Year Nomination
Members can use this form to nominate others for the 2019 EMS Instructor of the Year. The submission deadline is January 31, 2020. The award will be presented at the Spring Conference, March 5 -8, 2020 in Traverse City Michigan.
It may be easier if you type your longer answers in a word processor and then copy and paste them to this form.
Please enter your first and last name.
Your Email Address
Please provide the email that is associated with your SMEMSIC membership.
Name of Nominee
Please enter the first and last name.
Email Address of Nominee
Describe the personal continuing education activities undertaken by the nominee to prepare for the optimal education of others.
Describe the nominee's activities directly related to the education of EMS personnel.
Describe the nominee's community service activities NOT directly related to EMS.
Provide at least two examples of the nominee's effort to promote public awareness of EMS through education.
Explain why you believe the nominee should receive this award.
Provide any additional supporting comments.
Please email two letters of support from two other ICs for this nomination to
I understand that I must email two letters of support from two other ICs to
by January 31, 2020.
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