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Athletic Trainer International Service Award
Instructions and Information
Congratulations! You have been submitted as a candidate for the NATA Athletic Trainer International Service
Award. This is a national honor that recognizes athletic trainers for their contributions to the profession of
athletic training and the association through exceptional commitment to the educational practice and
development of Athletic Training internationally.
The International Committee has developed the attached candidate profile to be “candidate friendly.”
C
omplete, accurate information will help the committee assess your contributions. Please carefully read and
follow all of the instructions for completing the profile.
The following instructions will guide you through the nomination process:
1. Eligibility: To be eligible for nomination, individuals must be a member in good standing of the NATA. An
Athletic Trainer International Service Award candidate exemplifies the mission statement of the NA
TA and
t
he NATA Code of Ethics; by their conduct and advancement of the profession internationally.
2. Candidate Profile: The candidate profile must be typed and completed in its entirety, even if information is
du
plicated on the candidate’s résumé. Points will not be awarded for incomplete sections, or unanswered
questions.
Familiarize yourself with what is being requested. Candidates are not expected to have experience in all
areas and should not feel intimidated by having to leave some parts of the form blank.
3. Letter of Support: The candidate’s profile should include at least one letter of support. There is a
maxi
mum of 3 letters of support. Candidates are responsible for ensuring this occurs
.
Letters of support should be submitted from an individual(s) who can provide the NATA International Service
Award Committee with insight into the candidate’s international contributions. Letters of support may be
submitted individually by the writer or collected by the nominee and submitted at one time with
the
candidate profile
. Examples of individuals who may write letters of recommendation may include: Athl
etic
Traine
rs, Physicians, Athletes, Representatives from International Organizations or Governing Bodies,
International Healthcare Providers,
etc.
4.
Résumé or vita: Nominees should include a current résumé or vita to supplement the information on the
nomination form.
5. Deadlines: All materials requested, including the candidate profile, résumé or vita and letter of support must
be submitted via email by October 1st for consideration. Candidates and sponsors will receive e-mail
confirmation when the application is complete
.
6.
Evaluation process: The review process takes several weeks. The NATA International Service Award
Co
mmittee members will evaluate each nomination, complete an evaluation form and score ea
ch
n
omination reviewed. Their recommendations will be forwarded to the entire International Committee, who
will give final approval of the recommendation.
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7. Notification: All candidates will be notified by the International Committee Chair no later than February 1st.
8. Award(s) presentation: The Athletic Trainer International Service Award will be presented during the
NATA Annual Meeting and Clinical Symposia.
Questions?
Please contact Dr. Cynthia Wright at [email protected].
Checklist
Be sure you’ve included the following:
Support: Minimum of one letter of support.
Nominee: Completed candidate profile
Résumé or vita
On behalf of the International Committee, we thank you for your contributions to
the
athletic training profession on the international
venue.
The NATA does not discriminate against any legally protected
class.
DEADLINE:
Thank you for ensuring the International Committee receives all nomination materials by October
1st
.
E-MAIL
TO:
Dr.Jeff Konin
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International Committee Award – Recommendation Form
Candidate
Information
Name
Please list your name as you would like it to
appear.
Candidate nominated for
International Committee Service Award
Letter of Reference Information
Name
Employer
Occupation
E-mail
Home Work
Phone
Home Work Cell
Relationship to candidate
Years known
Please answer the following questions candidly and completely, to provide an illustration of the impact the
candidate’s contributions have made.
1. How has the candidate, as an athletic trainer, impacted you, your organization or your professional
community on an international level?
2. How have the candidate’s activities and contributions served to advance the athletic training profession
and/or positively impacted the quality of health care provided by athletic trainers internationally?
3. In your opinion, what has been the candidate’s most significant contribution as an athletic trainer
internationally? What was the result of this contribution and who did it impact?
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CANDIDATE INFORMATION
Personal
Name:
Last First
Middle
Credentials
BOC
Certification #:
Certification Date
(mm/yyyy):
Membership #:
District #:
Home
Address:
Street Address
City
State Zip
Work Address:
Street Address
City
State Zip
Work
Phone:
Home
Phone:
Fax:
E-mail:
Primary
Occupation:
Secondary
Occupation:
Are you fully
retired? (Y/N)
Are you retired, but still active
in some career-related
areas? (Y/N)
Are you completing this form for
a deceased member? (Y/N)
Professional Certification(s) and/or License(s)
Certification or License(s)
Year
SERVICE AND LEADERSHIP
International
For each category below, list offices and volunteer positions you have held. Include the dates your service began and
ended, the organization name, and your role. Be sure to list formally appointed or elected roles (President, Board
Member, committee chair, Journal Editor, etc.) as well as self-elected volunteer activities (convention volunteer, beta-
tester, mentor,
etc.).
Service to NATA Internationally
(This could include service on a committee or work-group, liaison to international
organization or other designated service.)
Position Activity or Committee
From
To
Term limit
of position
Contributions to profession
while in position
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Service to athletic training/sports medicine/athletic therapy internationally
Position Activity or Committee and
Organization
From
To
Term limit
of position
Contributions to profession
while in position
Additional comments regarding service and leadership (if applicable)
ENRICHING THE PROFESSION INTERNATIONALLY
Scholarly Activities: Athletic Training Domains of Knowledge
For each category below, cite your most significant international scholarly contributions related to the athletic training
domains of
knowledge.
For example, international presentations or workshops or international publications
(textbooks/chapters, peer-reviewed works, non-peer reviewed works, electronic media or other creative works).
Scholarly contributions that promote/enrich the professional of athletic training to international audiences are highly
valued.
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Promoting Athletic Training/Sports Medicine/Athletic Therapy Internationally
Cite your most significant contributions related to the professional development of athletic trainers, sports medicine
professionals, athletic therapists or similar professionals at the international level.
For example, promotion activities may include:
Mentoring Activities Internationally: Volunteer activities where you have served as a mentor/advisor to
current or potential athletic trainers at the international level.
Promoting Health and Safety Internationally: Involvement with activities and initiatives to increase
athlete/patient/client safety, reduce the risk of injury or illness, or
promote health and wellness
internationally
Emerging Athletic Training Settings Internationally: Contributions that have assisted in introducing
working as an ATC in an international setting
Other Unique Contributions Internationally: Contributions, innovations or inventions that have
enhanced the quality of healthcare provided internationally by
athletic trainers or advanced the
profession of athletic training on the international level.
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ADVOCACY
International Legislative/Public Relations/Media/Revenue
List your involvement in advocacy efforts related to international activities. Areas may include any of the following areas
or categories: international regulation or legislation, promoting the value of athletic training/sports medicine/athletic
therapy as health care providers, promoting an awareness of the professional of athletic training internationally, and/or
e
fforts in relation to initiating or increasing reimbursement or revenue
HONORS AND AWARDS
International Awards and Recognition
Please list formal international awards or recognition you have received (including at a minimum the award title, the
organization giving the award, and date), OR write the page number of your curriculum vitae where this information can
be found.
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NARRATIVE
Describe your international involvement as it relates to your current and past employment. Is
international involvement and practice part of your employment or is it service above and beyond?
How did you become interested in the international venue?
Candidate Electronic Signature
After you have completed this form, please enter your full name below as your electronic signature.
I, the undersigned, attest that to the best of my knowledge the above information is accurate and complete.
S
ignature Date
All information contained herein is subject to verification by the NATA International Service Awards Committee
