Arkansas Speech-Language-Hearing Association
Honors and Awards
Degree Programs in AR
ArkSHA Honors & Awards Nomination
Additional documentation for nominations can be attached before hitting send or can be mailed to PO Box 24103, Little Rock, AR 72221 or emailed to firstname.lastname@example.org Documents should be typed and single-spaced. Total pages are not to exceed 10 numbered, single-spaced, typed pages including nomination and summary forms and letter(s) of support. Pages beyond this number will be removed before distribution to the Honors and Awards Committee. Please do not send brochures, newspaper articles, etc. Additional information will be requested if necessary.
Name of Nominee (*)
Please let us know your name.
Nominee Email (*)
Please let us know your email address.
Person Making Nomination
Award for which person is being nominated for (check one):
LOUIS M. DICARLO AWARD FOR CLINICAL ACHIEVEMENT
FRANK R. KLEFFNER CLINICAL CAREER AWARD
PAULA J. GOBER PUBLIC SCHOOL AWARD
HONORS OF THE ASSOCIATION
Please provide a brief statement of nomination – stating why this individual is nominated in three sentences or less.
ArkSHA 2019 Annual Convention- October 2-4