Emerging Leadership Award

NJOTA

EMERGING LEADERSHIP AWARD

PURPOSE:

To recognize an occupational therapy student or an early practitioner who has demonstrated outstanding leadership in occupational therapy at the local, organizational, state, or national levels.

REQUIREMENTS:

STUDENT / OT PRACTITIONER (OT or OTA)
Be a member of his/her schools’ student occupational therapy association. / Be licensed in New Jersey as an occupational therapy practitioner.
Nominator will submit a letter of recommendation, the student’s CV or student portfolio, and the application for the award. / NJOTA membership required.
AOTA membership preferred.
Submit 2 additional letters vouching for the student’s outstanding leadership. / Must have practiced occupational therapy in NJ for at least 1 year but less than 3 years.
Nominator will submit a letter of recommendation, the practitioner’s CV, and the application for the award.
Submit 2 additional letters vouching for the practitioner’s outstanding leadership.

SELECTION:

The deadline for submitting the application with all supporting materials is

September 15, 2014.

Nominations shall be addressed to the NJOTA Awards Committee. The Awards Committee will review applications for completeness and appropriateness and make recommendations to the Executive Board for final approval.

PRESENTATION:

Award will be given at the annual NJOTA Conference.

Application is on page 2.

By September 15, 2014, please send completed application and supporting materials to:

NJOTA Awards Committee c/o Karen Z. Kowalski, MPH, OTR

Karen Z. Kowalski, MPH, OTR
Rutgers School of Health Related Professions

1776 Raritan Road, Scotch Plains, NJ 07076

NJOTA

EMERGING LEADERSHIP AWARD

APPLICATION FORM

DEADLINE: September 15, 2014

REQUIREMENTS:

STUDENT:

□ Be a member of his/her schools’ student occupational therapy association.

□ Nominator will submit a letter of recommendation, the student’s CV or student

portfolio, and the application for the award.

□ Submit 2 additional letters vouching for the student’s outstanding leadership.

PRACTITIONER:

□ Be licensed in New Jersey as an occupational therapy practitioner.

□ NJOTA membership required.

□ AOTA membership preferred.

□ Must have practiced occupational therapy in NJ for at least 1 year but less than 3

years.

□ Nominator will submit a letter of recommendation, the practitioner’s CV, and the

application for the award.

□ Submit 2 additional letters vouching for the practitioner’s outstanding leadership.

Name/Credentials of Nominee: ______

Address: ______

Place of Employment: ______

The letter of recommendation will be sent by:

Nominator’s Name: ______Phone #: ______

Twoletters of support will be sent by:

Name: ______Phone #:______

Name: ______Phone #: ______

DEADLINE: September 15, 2014.

Please send the above application along with the letters of recommendation to:

NJOTA Awards Committee c/o Karen Z. Kowalski, MPH, OTR

Karen Z. Kowalski, MPH, OTR
Rutgers School of Health Related Professions

1776 Raritan Road, Scotch Plains, NJ 07076

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