ASCLS-PA.ORG
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  • Fillable forms for Awards in Word
Award Forms

​Click on the form next to the award to complete a fillable Word document.  Save it as a Word document and e-mail to the Awards Chair, ​​Mary Gourley.
​
  • Corporate Award Nomination Form                
  • Edward P. Dolbey Award Nomination Form                                      Tally Sheet for Dolby Subcommittee Use         
  • Estolle Gross Award Nomination Form
  • Keys to the Future Nomination Form                                     ​
  • Lifetime Achievement Award Nomination Form                               Tally Sheet for Board Use
  • Pi Alpha Award Nomination Form                                          
  • Omicron Sigma Award                              Nominations made by ASCLS President, Region II Director, & ASCLS-PA President
  • Keener Memorial Service Award            Awarded at the discretion of the President
  • Membership Award                                  Given for 10 years or more of membership in 5 year intervals
​​​​​
  • Home
    • What is Clinical Laboratory Science?
    • Links
  • About ASCLS-PA
    • About ASCLS
    • 2022-2023 State Leadership
    • Nominations
    • Chapters >
      • Lehigh Valley
      • Northwest
      • Delaware Valley
      • Northcentral
      • Southwest
      • Southcentral
      • Susquehanna
      • Northeast
    • Membership
    • History
    • Government
    • Newsletters
    • Documents
    • Minutes
    • Archived Minutes
    • Contact Us
  • Scholarships
    • CE Assistanceship
    • Dolbey Scholarship Guidelines
    • Alpha Mu Tau Fraternity Scholarships
  • Award Guidelines
    • Lifetime Achievement Guidelines
    • Edward P. Dolbey Award Guidelines
    • Keener Memorial Award Guidelines
    • Keys to the Future Guidelines
    • Corporate Recognition Guidelines
    • Estolle Gross Guidelines
    • Omicron Sigma Guidelines
    • Pi Alpha Guidelines
    • Membership Award Guidelines
  • Past Award Recipients
    • Lifetime Achievement Recipients
    • Dolbey Award Recipients
    • Keys to the Future Recipients
    • Estolle Gross Award Recipients
    • Corporate Award Recipients
    • Keener Award Recipients
    • Omicron Sigma Recipients
    • Pi Alpha Recipients
    • Sustained Membership
  • Fillable forms for Awards in Word