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2023 ITLS Award Nomination Form

ITLS Award Nomination Form




International Trauma Life Supports Awards Criteria & Procedures
ITLS awards are presented to individuals who made significant contributions to the promotion of ITLS, its educational programs, and its chapters and training centres.

ITLS awards:

Medical Director of the Year
This award is named in honor of ITLS’ founder the late Dr. John Campbell; for outstanding leadership and medical direction of ITLS.

Instructor of the Year
This award is named in honor of Dr. Ray Fowler; for excellence in teaching and innovation in ITLS programs.

Coordinator of the Year
This award is named in honor of Pat Gandy, RN; for outstanding leadership in pre-hospital trauma training and promoting ITLS.

Ambassador of the Year
This award recognizes an individual who exhibits extraordinary for belief in and promotion of the ITLS mission; for dedication to ITLS and for efforts to make the organization stronger.

Harvey Grant Memorial Award
This award recognizes an individual for outstanding service in ITLS Access.

Jackie Campbell Award
This award recognizes an individual for being “the wind beneath our wings” as exemplified by the dedication and service of the late Jackie Campbell, RN.

Donna Hastings Leadership Award
This award recognizes an individual for outstanding leadership of ITLS programs.

ITLS Wall of Honor
ITLS recognizes the leaders we have lost; their lives are remembered on the ITLS website.

Award nomination submission deadline: August 4, 2023
1. I am submitting a nomination for the following award: *This question is required.
This question requires a valid email address.
Nomination Submission Package
  • Nominee Information
  • Answers the following question to support the nomination: Please state why this person should be honored with this award.
  • Nominee’s CV
  • Nominee photo (optional, but preferred to be submitted with the nomination application)
5. Please complete the following below with information about the nominee. 
7. Or, you may upload your letter of support (PDF or Word Document form will be accepted.)
8. Please upload the Nominee's CV below. (PDF or Word Document form will be accepted.)
9. Please upload the Nominee's PHOTO below.