Please select the Award for which you are nominating someone. An email of your nomination submission will be sent to the award committee chair, subchair, and, the webmaster:
Hall of Fame
Athletic Trainer of the Year
Linda Weber Daniel Outstanding Mentor
Team Physician Award (Sponsored by the Cleveland Clinic)
Service Award
Most Distinguished
Special Consideration
Honorary Membership

Nominator's Information:
Name (Last, First): ,

*Email Address:
Confirm Email:

*NATA (or OATA ) membership # ( 6 digits)

OATA Membership District Choose District: Northwest Northeast Central East Southwest Southeast Professional/At large

*Date Submitted (mm/dd/yyyy):

Street:
City:
State Zip Code
Home Phone (xxx-xxx-xxxx):
Office phone (xxx-xxx-xxxx):
Cell phone (xxx-xxx-xxxx):

Nominee's Information:
*Name (Last, First): ,

*Place of Employment

*Email Address:
Confirm Email:


*OATA Membership District Choose District: Northwest Northeast Central East Southwest Southeast Professional/At large

*Justification for Nomination:

When typing in the registration code, all letters are capitals and the O (letter) and 0 (number) are different. If you do happen to type in the WRONG the first time and you backup and make changes, you need to "Reload" the page first. The code changes EVERY time you go the page (either initially OR by backing up to it), but you don't see the code change if you don't RELOAD the page.

Type the text from this image:

Use alphanumeric digits only.