IPTA Distinguished Allied Health & Nursing Professional Award Nomination Form

The purpose of this award is to recognize an Allied Health or Nursing Professional member who has rendered years of faithful service to the Society and/or who has made a significant contribution to pediatric transplantation.

*Please be advised that only IPTA members in good standing can nominate or apply for an IPTA Award*.

• Candidate must be an Allied Health or Nursing Professional (e.g. nurse, coordinator, psychologist, social worker, pharmacist, transplant administrator) who has contributed significantly to the field of pediatric transplantation and/or to IPTA throughout their career.
• Must be a current member of IPTA at the time the nomination is submitted.
• No individual can receive the award within five years of receiving a previous IPTA award. (Excludes Travel Awards).

• To submit, complete the form below and attach the requested supporting documents (2 letters and/or emails of support, as well as the nominee’s CV).
• The deadline for submissions is August 1, 2022.