Craven Management Associates

The CSAP Nancy McKinley Leadership Award

This form must accompany the “narrative” as described under Nomination Procedures in 2(b), as well as two letters of support. Attach documentation to this nomination form or email to csap@robertcraven.com no later than October 15, 2020.

Nomination Information

State Association Submitting Nomination *

CSAP Member

Yes

Name of Nominee *

Degree/Credentials

Professional Title

Place of Employment

Preferred Mailing Address

Apt, suite, etc.

Country

City

State

Zip code

Phone *

Email *

Position within the State Speech and Hearing Association *

Term of Appointment *

Individual Submitting Nomination

Name of Nominator *

Degree/Credentials

Current Position with the State Speech and Hearing Association *

Preferred Mailing Address

Apt, suite, etc.

Country

City

State

Zip code

Phone *

Email *

Name of President of the State Speech and Hearing Association *

Has your state association president approved this nomination? *

Yes, the state association president is aware and has approved this individual to be nominated.

No, the state association president is not aware of this nomination.

Upload Narrative

Upload Letter of Support

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Award Form

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