OATS Hall of Fame NOMINATION Form
Award Overview and Information
The Hall of Fame is the highest honor offered by Oregon Athletic Trainers' Society (OATS) in recognition to Athletic Trainers who have made significant contribution at the state level. Individuals inducted into the Hall of Fame must exemplify the mission statement of the National Athletic Trainers’ Association by enhancing the quality of health care provided by athletic trainers, and advancing the athletic training profession with such qualities as leadership, service, dedication, scholarly activities and professionalism. The nominee has been recognized as having made significant, lasting contributions that enhance the quality of health care provided by athletic trainers and advance the profession. This award is given to Athletic Trainers who have shown meritorious service to OATS, made contributions to the improvement of the athletic training profession in the state of Oregon, and provided superior service to the Oregon Athletic Training Society.

Eligibility
OATS member, minimum of 15 years practicing as an Athletic Trainer in Oregon.
Nominated by a certified member in OATS.
An athletic trainer being nominated cannot solicit or influence the selection process.
Members may be nominated more than once.

Application Requirements
Complete online nomination forms and supporting documentation.

Deadlines/Procedure
All documents must be completed and returned to the committee chair by February 15th of the nominating year: nomination form; nominee's curriculum vitae; three letters of recommendation. Email CV and letters of recommendation to Genludwig@pacificu.edu.
Award recipient will be recognized at the OATS Annual Business Meeting

Selection
The selection committee encourages the nominator to review the award and its criteria before submitting the nomination. The nominator will initiate, collect, and be responsible for the gathering and submission of materials. We encourage recommendations be a concise and descriptive narrative of the nominee as he or she fits the award description. We also encourage collaboration with other writers of support in a “team” approach to ensure all perspectives and information are included. Winners will be selected by the OATS Honors and Awards Committee. The nominator will be contacted by a member of the Committee once nomination has been completed or to request any additional information if deemed necessary.

Nominee Name
Your answer
Nominee Credentials
Your answer
Nominee Work/Home Address
Your answer
Nominee Phone Number
Your answer
Nominee Email Address
Your answer
Professional Education: Please include nominee's degrees earned, school and years of attendance.
Your answer
Professional Qualifications: Please list nominee's certifications/registrations/licenses.
Your answer
Career History: Please list all positions held, places of employment, dates of employment
Your answer
How long has the nominee served as an athletic trainer in the state of Oregon?
Your answer
Has the nominee served OATS? Please summarize all service to OATS during the course of the nominee's career, this could include as an officer or committee member.
Your answer
Has the nominee served on the State of Oregon's Board of Athletic Trainers' ? Please include years of service.
Your answer
Has the nomineee served as an athletic training educator in the state of Oregon (course instructor, curriculum development, preceptor or site supervisor, CAATE site visitor)? Please list specific involvement.
Your answer
How many OATS Annual Meetings and Summer Symposiums has the nominee attended?
Has the nomineee been a speaker at any OATS, NWATA, NATA or other professional organizations? List all speaking activities, locations, and dates.
Your answer
Has the nominee received any awards from OATS, NWATA, NATA or other Oregon entities for service or distinction? Please list awards.
Your answer
Please describe any recognition (related to athletic training performance) the nominee has received at their place of employment, by citation, award, or institutional ceremony.
Your answer
Has the nominee been involved in professional activities (publication in peer-reviewed journal, authorship of book, consultation services)? If yes, please explain.
Your answer
Has the nominee been a speaker at a community service organization, health care organization, local medical society, coaches' association, school, or other group not affiliated with an athletic training organization?
Your answer
Please list the nominee's involvement in community service outside the profession of athletic training. This may include organizations such as Red Cross, Special Olympics, Rotary, church, etc.
Your answer
Is there any additional information you would like to include about this nominee?
Your answer
Nominator Info: Please include YOUR name, place of employment, job title, phone number and email address.
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Pacific University Oregon. Report Abuse - Terms of Service - Additional Terms