2026 Q1

2026 Nomination Form for NADOA Membership Recognition

Do you have a Mentor, Trainer, Speaker or Company you feel deserves a pat on the back for all they do? Nominate them for one of the awards below!! Please detail the nominee’s involvement in NADOA, the services they have performed and/or contributions they have made on a separate sheet. I would like to nominate _____________________________________________________ for the Ellis Rudy Memorial Lifetime Achievement Award. This award is presented to the NADOA member who has exemplified the Division Order Profession through demonstrated leadership contributions to the industry and the profession during his/her career. I would like to nominate _____________________________________________________ for the NADOA Membership Recognition Corporate Award. Presented to the group or company that has contributed to NADOA’s growth and development, the Division Order profession, and/or the industry during the past year. I would like to nominate _____________________________________________________ for the NADOA Membership Recognition Award for Education. This award is presented to the NADOA member who has dedicated their time and service to the betterment of Division Order Professionals through influence and mentorship. I would like to nominate _____________________________________________________ for the NADOA Membership Recognition Award for Interaction. This award is presented to the NADOA member or affiliated organization who has had a positive community impact and extraordinary service and dedication in leading and promoting the Division Order profession. I would like to nominate _____________________________________________________ for the Russell Schetroma Memorial Speaker’s Award. This award is presented to an individual who has contributed to NADOA’s growth and development by speaking, educating, and sharing knowledge on numerous occasions to the NADOA Membership, the Division Order profession, and/or the industry during the past year. I would like to nominate _____________________________________________________ for the NADOA Membership Member of the Year. This award is presented to a member of NADOA who has gone above and beyond to promote the Division Order profession, and the NADOA Organization to his/her co-workers and to others in the industry. _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________

G rowth T hrough E ducat i on - J anuary / F ebruary / M arch 2026 Send nominations to: Member Recognition Awards Committee, c/o Cheryl Hampton champton@limerockresources.com Nominations will be accepted through June 1, 2026 Signature ______________________________________________________ ____________ Please print name _____________________________________________________________ Address ________________________________________________________________________

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