BackTraining Aid Nomination Form
Nomination for the Connie Allen Beasley Training Aid of the Year

Use the following form to nominate someone to recieve this award. Please completely fill out the form below and we will process your nomination as soon as possible. Thank you in advance for you submission.

Training Aid of the Year
Nominee must be an active member of the Society.
Name of Nominee:
Address:
City:
Subject aid is used in teaching:
Description of training aid
Cost of constructing aid:
Location(s) of class where aid has been used:
Describe way aid is used in training class:
Will aid be available for our next conference?
Your Name:
Your Phone Number:
Your E-mail:
I hereby certify that all statements on this form are true. Yes  
Nominations must be received no later than the end of January.