Thank you for your interest in submitting a nomination for the American Thyroid Association (ATA)  Awards.  Nominators must submit this electronic form and upload the required award support documents by March 31, 2019.  You will not be able to save and return to this form. As such we ask that you please collect and prepare the required support documents listed below prior to completing this form. Incomplete applications will not be considered.

Once you submit this form an email will be sent to the nominee, using the email entered below, requesting them to complete a short form listing their ATA Service and Leadership Activities. You can also send them this link for them to complete the form now – []. The nominee will have until Tuesday, April 2 to complete their form.

Please send questions to the Awards Committee Staff

Required Support Documents

  • CV
  • Nomination Letter (from nominator)
  • 1-3 Letters of Support (from colleagues)
  • 2-4 Significant Publications

American Thyroid Association Award Nomination Form


  • Drop files here or
  • Drop files here or
    We ask that you upload PDFs of 2 - 4 of the nominee's most significant publications. Alternatively, upload a document that lists the URL providing access to 2-4 of their most significant publications.(max 4, required 1)