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Missouri Emergency Medical Services Association
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Individual Awards Nominations

Each year, MEMSA accepts nominations for its annual awards. MEMSA recognizes individuals and organizations who have contributed significantly to high-quality EMS and whose actions have resulted in better patient outcomes in the prehospital, emergency department, or transportation phase of emergency care. Awards are presented yearly at MEMSA’s annual membership meeting during the MO EMS Conference & Expo. Unless otherwise noted, anyone can make a nomination. Nominations may be submitted year-round, but they are due on May 31 of each year for that year’s awards presentation. An EMS agency or an individual may not win in the same category more often than every three years. The MEMSA BOD reserves the right to determine eligibility.

Award Rules:

  • DEADLINE: The deadline for nominations is midnight on May 31 each year. Online nominations and supporting materials (limit of six) must be uploaded to the online nomination forms above.
  • JUDGING: Winners are determined through a process identified by MEMSA Board of Directors and the Awards Chairperson and will be objectively scored in the following areas:
    • Community support and involvement
    • EMS involvement
    • Contributions to the local and/or state EMS
    • Letters of recommendation/support (from the medical director, community leaders, etc.)
    • Other documentation that supports nomination.
    • Letters of support should be current and include the name of the award for which the person is being nominated.
    • This may include letters from patients, community organizations, local government, peers, board of directors, etc.
Nominations are now closed.

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Please select the award category for which you are nominating:*

Nominee Contact Information

Nominee's Name:*
Nominee Address:

Employer Contact Information

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Nomination Details

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Supporting Documents

Max. file size: 256 MB.
Max. file size: 256 MB.
Max. file size: 256 MB.
Max. file size: 256 MB.
Max. file size: 256 MB.
Max. file size: 256 MB.

Nominator's Contact Information

We may contact you (the Nominator) to follow up on this nomination, but your nomination will remain confidential. Please enter your contact information below.
Nominator's Name:
Nominator Address:

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Missouri Emergency Medical Services Association

PO Box 243
Linn, Missouri 65051

Phone: 573-370-1702

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