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Distinguished Awards Nomination Form

Please complete a separate form for each nomination. You may submit the form multiple times to nominate additional candidates.
Carefully review the award criteria to ensure your candidate is eligible for the proposed award.

Each nomination must include the following enclosures: (incomplete nominations will not be considered)

  • Reasons for Nomination
  • Candidate CV or Resume
  • Two letters of support from AO members
Which AO Award for nomination?
Please choose only one award category.
Nominee's name:
Describe why you believe this individual or group meets the criteria for the selected category. Your statement should be 200-300 words and detail their achievement and contributions to implantology and/or the AO.
Drag & Drop Files, Choose Files to Upload You can upload up to 6 files.
Please note: Nominations will not be considered until CV/resume and accompanying letters of support must be received by August 15 of each year to be considered for that year's Awards cycle.

LETTERS OF SUPPORT - You must provide at least two letters of recommendation that support your nomination of this candidate.

Drag & Drop Files, Choose Files to Upload You can upload up to 10 files.
You must provide at least 2 (two) letters of recommendation
Drag & Drop Files, Choose Files to Upload You can upload up to 10 files.
You must provide at least 2 (two) letters of recommendation
Your name:
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