Nomination Information

Presented by the FVMA to honor the outstanding contributions of any non-veterinarian who helped advance the association and veterinary medicine.

NOMINATION DEADLINE - DECEMBER 3, 2021

If you have any questions, please call the FVMA office at 800.992.3862 or email us at: info@fvma.org

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* 1. Nominee Information

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* 2. Nominator Information

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* 3. Please list the nominee’s accomplishments and why they should be considered for the award.

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* 4. Attach a high-resolution photo of the nominee.



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* 5. If needed, you may also submit other information to support your nomination.

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* 6. If desired, you may use this option to upload any additional documents or photos.

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