Leadership and Mentoring Award Entry Form

Presented to the volunteer leader who has gone above and beyond the call of duty to help meet the goals of the AAMA and to promote, therefore, the professional identity and stature of its members, and the medical assisting profession by having displayed outstanding leadership and mentoring abilities on the national level.

Eligibility & Judging Criteria

Submitters must be AAMA members. Nominees must be AAMA members and CMAs (AAMA). Distinction winners can only win a particular award once, but they can be nominated for a different Distinction Award after three years. Currently serving Board of Trustees members cannot be nominated. But selection will favor those who have served on the national level.

Submitter's Information

Must be an AAMA member.

Prefix

First Name

Last Name

Suffix

Day Phone

Evening Phone (mobile)

Nominee's Information

Nominee's Name

Must be a current CMA (AAMA) and AAMA member.

Nominee's Credentials

This information is used on the award certificate, trophy, and other materials.

Nominee's Mailing Address

Street Address

City

State

Zip Code

The above is the nominee's

home address

work address

Required Document Uploads

These are required in order to submit the form.

Must include sample campaign materials.

I've uploaded the required materials to this online form.

I'm having trouble uploading, so I'll email MarCom@aama-ntl.org.

Statement of Nominee's Accomplishments

A detailed statement listing specific accomplishments achieved by the nominee

Statement of Nominee's Accomplishments field is required

Nominee's Professional Résumé

(Tip: include work experience.)

Nominee's Professional Résumé field is required

Nominee's AAMA Résumé

(Tip: includes involvement at all three levels of AAMA membership, current CMA (AAMA) status, and emphasis on national achievements)

Nominee's AAMA Résumé field is required

Letters of Recommendation

Upload at least two detailed letters of recommendation supporting the nominee's qualifications for the selected award.

Letters of Recommendation field is required

Headshot of Nominee

Upload a headshot that the AAMA may use in awards announcements.

Headshot of Nominee field is required

Acknowledgements

Confirm the following by selecting each checkbox:

I confirm that I understand the eligibility requirements and that incomplete entries will be automatically disqualified.

I acknowledge that all submitted materials are subject to future use as marketing materials and the like by the AAMA. Such materials may include photos, URLs, and even a recorded acceptance speech (if applicable). By submitting an entry form to the AAMA, you agree to permit the AAMA to use these materials at the AAMA’s discretion.