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 September 30 to be considered for the following year. (For example, nominations for 2024 are due by September 30, 2023)

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 *

Job Title *

Company Name *

Company Address *

Address Line 2

City *

State *

Zip Code *

Email *

Phone Number *

CANDIDATE'S IMMEDIATE SUPERVISOR CONTACT INFORMATION

First Name *

Last Name *

Job Title *

Daytime Phone Number *

Email *

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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In addition to the letter of recommendation, candidates will be judged on the following criteria:

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%)

Letter of Recommendation *

1. TECHNICAL ACHIEVEMENTS (60%)

*

0/5000 characters

2. Leadership/Mentoring (15%)

*

0/5000 characters

3. Publications, presentations, patents (5%)

Total number of external publications, presentations and patents *

External publications, presentations, and patents *

0/250 characters

Total number of internal publications and presentations *

Internal publications and presentations (SOPs, presentations to teams, etc.) *

0/250 characters

4. Contributions to quality, safety, and other initiatives (5%)

*

0/5000 characters

5. Awards (5%)

*

0/5000 characters

6. Professional and community activities (ACS, AIChE, outreach, etc.) (10%)

*

0/5000 characters

Additional supporting documentation

Save & Return

Save your progress and complete this form later. (optional)

Re-Nomination Packet

If candidate was first nominated more than two years prior, please submit as a new NCTA nomination.

Updates
Please include any additional or updated information that you would like added to the original nomination packet. Make space as necessary, but do not exceed 2 pages. Re-nomination packets exceeding two pages in length or containing proprietary, confidential or private information will not be accepted.

Nomination form submission (previous versions)

Though we would prefer that you submit your nomination materials using the online form tools, we understand that some may be more familiar with the print version of the nomination form.

If submitting the previous version of the form, please remember that packets exceeding six pages in length (including letters of recommendation) will be disqualified.