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, 2021. 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.

2021 Call for Nominations (PDF File, 81 KB)

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 Friday, April 2 to complete their form.

Please send questions to the Awards Committee Staff

Required Support Documents

  • Completed and signed Nomination Form – candidates must be re-nominated every 3 years.
  • CV and nomination letter (up to 2 pages) emphasizing major accomplishments, impact on their field and contributions to the field of thyroidology and the ATA.
  • 2-3 supporting letters requested by nominator.
  • List of 2 to 4 most significant publications with PDF or URL to provide access to these papers.

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)