National Association of Air-Medical Communication Specialists 

Communicator of the Year Award 

Nomination Form 

Nominee Information: 

Name: _________________________________________Title: ____________________

Address: ________________________________________________________________

City: ______________________________State: ___________________Zip: _________

Phone: ___________________ Fax: _________________ E-mail: __________________

Program Affiliation: _______________________________________________________

Visit www.naacs.org to review criteria and eligibility for this award.

Please fill out this form and include a type written letter of nomination on why you think this nominee is qualified to receive this award. Please limit letters of nomination to 2 pages and the number of letters of nomination to 3 for each person nominated.

Please note: Letters of nomination longer than 2 type written pages will be disqualified. If more than 3 letters of nomination are received for one individual the first 3nominations received will be used for consideration only. 

Submitted By:

Name: __________________________________________Title: ___________________

Address: ________________________________________________________________

City: ______________________________State: ___________________Zip: _________

Phone: ___________________ Fax: _________________ E-mail:__________________

Program Affiliation: _______________________________________________________

Return this form along with your typewritten letter of nomination by April 27, 2007. Please fax these documents to 1-866-869-9462or mail them to:

NAACS

P. O. Box 121882

Nashville, TN 37212-1822

Sponsored by American Eurocopter Corporation
Winner receives a free registration to AMTC 2007 September 17-19 in Tampa FL. Free one-year membership to NAACS and an engraved plaque that will be presented at the NAACS General Membership meeting on September 16, 2007.

NAACS use only:

Date Received: _______________________ COY ID Number: _______________________