<%@LANGUAGE="VBSCRIPT" CODEPAGE="1252"%> Summit Award Nomination Form

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Chartered Affiliate Committee

Summit Award Nomination Form

For April 1, 2007–March 31, 2008

Submitted by

Your name:
Your state:

Affiliate You are Nominating
 

Affiliate Educational Activities
Does this affiliate hold an annual educational meeting? Yes    No
Is there an extra charge for non-AARC members at this meeting which results in those non-members becoming AARC members? Yes    No
How many CRCE credits did this affiliate offer?

 
Affiliate Public Relations
How many Respiratory Care Week activities were organized?
How many affiliate-related media presentations (e.g.: tv, radio, newspaper) were given?
How many presentations to the public about the profession or other health-related topics were given?

 
Affiliate Legislative Affairs
Was there legislative action on current or new RPC state acts (including efforts to acquire a RCP state act)? Yes    No
How many public presentations to state or federal officials were given?
How many affiliate-influenced enhancements to state legislation regarding RCPs (other than licensure) were added?

 
Other Affiliate Activities
How many affiliate newsletters were published this cycle?
Does this affiliate have a web site? Yes    No
Does this affiliate charge extra for membership in the state society? Yes    No
What was the total increase in AARC membership from program start to program end (to be completed at the end of the program with current AARC data)?

Tell us more about the activities checked above and anything else your state affiliate did over the past year that you feel is worth mentioning, especially any new ideas that can be shared with the other affiliates. You might want to compose your narrative in a word processor and check for completeness and errors, and then copy and paste it into the text area below.