Thank you for your participation in the National Chemical Technician Award program.

For each nominee, a completed nomination packet is required. The packet must include, at a minimum, the following:

The completed nomination form
At least one letter of recommendation from someone familiar with the candidate’s work

Other materials may be included, if desired.

All material included in the nomination packet must be cleared for release from outside of your organization. Packets containing proprietary, confidential, or private information may be disqualified.

Nomination packets must be received by December 1, 2020.

As noted, the main requirements are a completed submission form and letter of recommendation. The submission form requires nominators to respond to the candidate's performance in the following categories:

Technical Achievements (worth 60%)
Leadership/Mentoring (15%)
Number of communications/publications (5%)
External publications, presentations, patents
Internal presentations, publications (can include SOPs, presentation to teams, etc.)
Contribution to quality, safety, and other initiatives (5%)
Awards (5%)
Professional and community activities (ACS, AIChE, outreach, etc.) (10%)

CANDIDATE CONTACT INFORMATION

First Name *

Last Name *

Title *

Work Phone Number *

Email Address *

Company Name *

Company Address *

Address Line 2

City *

State *

Zip Code *

CANDIDATE'S IMMEDIATE SUPERVISOR CONTACT INFORMATION

First Name *

Last Name *

Title *

Daytime Phone Number *

Email Address *

NOMINATOR CONTACT INFORMATION

First Name *

Last Name *

Title *

Daytime Phone Number *

Email Address *

ELIGIBILITY QUESTIONS

Has the candidate been employed for at least five years as an applied chemical technology professional? *

Yes

No

Is the candidate a chemistry-based laboratory technician, process technician, operator, analyst, or other applied chemical technology professional? *

Yes

No

Is the candidate currently a member of the Committee on Technician Affairs Executive Board? *

No

Yes

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