Nomination Form

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Submit a Nominee

Accompanying Materials Required for Nomination:

  • Letter of nomination from nominator (must include as an addendum to the nomination letter, a short paragraph of no more than 100 words to appear in professional publications citing the nominee’s contributions).
  • A statement of approximately 500 words in length outlining the nominee’s research contributions to advancing knowledge in the field of occupational therapy and/or rehabilitation science since completion of the doctoral degree. This statement must also note the nominee’s promise for future substantive contributions that may impact practice and health.
  • Two (2) letters of support.
  • Current curriculum vitae of nominee which must include a list of publications, and/or presentations (seminars, symposia, workshops, scientific papers, awards, and honors) from peer-reviewed journals.
  • Reprints of two or three (2-3) publications (examples of nominee’s scholarship/contribution in field).
  • Recent photograph of nominee suitable for reproduction (high-resolution 300 dpi or greater, jpeg
    preferred).
  • Email nomination materials to aotf@aotf.org.
Candidate Name(Required)
Candidate Home Address(Required)
Candidate Work Address(Required)
Your Name(Required)
Your Work Address(Required)