Celeste Pasley Merit Award Nomination Form 2025

The New York State Black Occupational Therapy Caucus (NYSBOTC) invites nominations for the Celeste Pasley Merit Award. The Award is presented to a Black Occupational Therapy practitioner (OTR/COTA) who has demonstrated significant contributions to the human condition in the following areas: clinical expertise, community involvement, education, mentorship and/or research. The award will be presented in the form of a plaque and certificate from the NYSBOTC. Please feel free to share this Call for Nominations with others who might wish to submit a nomination. Nominations can be made by any individual, organization, or institution; however the nominee must be a Black Occupational Therapy practitioner. Questions about the appropriateness of a particular nomination are welcome and should be directed to the NYSBOTC, at the email listed below.


Nominations for the Celeste Pasley Merit Award should be emailed to nysbotc1@gmail.com by June 1, 2025.
Sign in to Google to save your progress. Learn more
Nomination Procedures
Nomination
1. Name, Title, Address, Phone, and Email of nominee
2. A Narrative Statement describing the nominee’s qualifications for the Award
3. A brief biography, previous awards, etc.
4. Email a copy of the their resume/CV to nysbotc1@gmail.com
5. Name, Title, Address, Phone, and Email of nominator

Eligibility
1. Candidates must be a Black Occupational Therapy Practitioner (OTR/COTA) living in NYS.
2. The winner is expected to attend the NYSBOTC Scholarship Fundraiser Dinner Dance and deliver a brief two-minute speech highlighting their contributions

Selection Process
1. Nominations will be accepted from any individual, organization, or institution.
2. Deadline is June 1st
Name/Title of nominee *
Organization/Company *
Brief explanation why this person should be considered for this award *
Brief biography, previous awards, recognitions, etc. *
Name/Title of individual or organization presenting the nomination *
Address *
Phone Number *
Email *
Do not forget to email a copy of the their resume/CV to nysbotc1@gmail.com
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms