awards

ATHS Chapter Member Service Award Nomination

Please complete this form in its entirety to have your nominee considered for an ATHS Chapter Member Service Award. The ATHS Awards Committee votes on nominations and determines eligibility. For further policy details or to receive a printed nomination form and/or criteria list, just send us an email

To view the criteria for the Chapter Member Service Award, click here.

Note: The submitter must be a person other than the Nominee.

Submitter Information

Name

Address

Phone

Nominee Information

Name

Address

Phone

Year Joined ATHS

Years of Service

From:

To:

Upload a Photo

Please provide at least one historic photo of the individual. If a historic photo is not available, please submit a current photo of the nominee. If you do not have a photo available immediately, please contact ATHS to submit the photo in a different format. Limit one JPG, PNG, or PDF files at 32 MB max.

Click 'Browse' to upload Photo

Share Their Story

Please provide a short biography of the individual being nominated (150 to 200 words), including all pertinent information on chapter service and accomplishments, how and why they got into trucking, any honors received, accomplishments, or articles written about about them.

Award Presentation Information

If approved, how will the award be presented?

At an official event

In a private Meeting/Ceremony

At the ATHS National Convention & Truck Show

Other:

Who will present the award?

Can the recipient know about the award?

Yes No

Award Submission Certification

Agreement

By clicking this checkbox, I certify that all the information in this award nomination is complete and accurate to the best of my knowledge.