Alpha Omega Alpha Honor Medical Society

Administrative Recognition Award

Please note on the data entry form that this information is to be submitted at least ONE MONTH PRIOR to the presentation date to allow for vendors turn-around times for the certificate and gift card (all fields are required).

Date award to be presented
Chapter Information
Contact First Name
Contact Last Name
Contact Email
Contact Phone
Ship-to name
Shipping address for the award
(no shipments made to P.O. boxes)
Administrator Information
First Name
Last Name
Years of Service as an AOA Administrator
(Must be at least 3 years)
Description of activities performs for AOA

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