KAHPERD HONOR AWARDS NOMINATIONS

Mustaine Award – This is the highest honor that KAHPERD bestows. The recipient should have been recognized at some earlier date. It should be an award of great honor and the person must be carefully chosen.

Life Member Award – This is awarded to someone who has had a long period of service (at least ten years) or who may have retired. It recognized distinguished service to the profession.

Distinguished Service Award – This is awarded to members of KAHPERD in recognition of meritorious service over an extended number of years.

Merit Award – This awarded to members and non-members of KAHPERD. It is to recognize merit in the fields of HPERD and fields of allied interests. It may be presented to persons, schools or institutions/corporations.

Please be sure to complete all of the information on page 2 and include a one-page justification explaining why your nominee is deserving of the award.

Date Submitted:
Nominated by:
Address:
Phone:
Email:
Select One:	Mustaine Life Member Distinguished Service Merit
Nominee's Information
Name:
Address:
City:
State:	Alabama (AL) Alaska (AK) Arizona (AZ) Arkansas (AR) California (CA) Colorado (CO) Connecticut (CT) Delaware (DE) District of Columbia (DC) Florida (FL) Georgia (GA) Guam (GU) Hawaii (HI) Idaho (ID) Illinois (IL) Indiana (IN) Iowa (IA) Kansas (KS) Kentucky (KY) Louisiana (LA) Maine (ME) Maryland (MD) Massachusetts (MA) Michigan (MI) Minnesota (MN) Mississippi (MS) Missouri (MO) Montana (MT) Nebraska (NE) Nevada (NV) New Hampshire (NH) New Jersey (NJ) New Mexico (NM) New York (NY) North Carolina (NC) North Dakota (ND) Ohio (OH) Oklahoma (OK) Oregon (OR) Pennyslvania (PA) Puerto Rico (PR) Rhode Island (RI) South Carolina (SC) South Dakota (SD) Tennessee (TN) Texas (TX) Utah (UT) Vermont (VT) Virginia (VA) Virgin Islands (VI) Washington (WA) West Virginia (WV) Wisconsin (WI) Wyoming (WY) Alberta (AB) British Columbia (BC) Manitoba (MB) New Brunswick (NB) Newfoundland and Labrador (NL) Northwest Territories (NT) Nova Scotia (NS) Nunavut (NU) Prince Edward Island (PE) Saskatchewan (SK) Ontario (ON) Quebec (QC) Yukon (YT) Aguascalientes (AGS) Baja California Norte (BCN) Baja California Sur (BCS) Campeche (CAM) Chiapas (CHIS) Chihuahua (CHIH) Coahuila (COAH) Colima (COL) Distrito Federal (DF) Durango (DGO) Guanajuato (GTO) Guerrero (GRO) Hidalgo (HGO) Jalisco (JAL) México - Estado de (EDM) Michoacán (MICH) Morelos (MOR) Nayarit (NAY) Nuevo León (NL) Oaxaca (OAX) Puebla (PUE) Querétaro (QRO) Quintana Roo (QROO) San Luis Potosí (SLP) Sinaloa (SIN) Sonora (SON) Tabasco (TAB) Tamaulipas (TAMPS) Tlaxcala (TLAX) Veracruz (VER) Yucatán (YUC) Zacatecas (ZAC)
Zip:
Work Phone:
Home Phone:
Email:

Questions regarding Honor Awards should be submitted to Sue.Banister@insightbb.com

Justification for the Award: For the committee to consider the nominee we MUST have one FULL typewritten page of specific information that justifies why this person is deserving of the award. (Page attached-Scroll Down)

Justification For Award:

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If you have questions re: KAHPERD Honor Awards please contact: Sue.Banister@insightbb.com

All nominations must be received by Sept. 1, 2010
KAHPERD members may submit as many nominees as they want.
Note: All awards may not be awarded each year.