YOUR Full Name *

YOUR Email Address *

NOMINEE'S Full Name *

NOMINEE'S Email Address

Owner's Name (Animal Hero Awards)

Award Category *

Dr. Richard H. Long Lifetime Achievement Award

H. Wesley Towers Veterinarian of the Year Award

Veterinary Technician of the Year Award

Animal Hero - HERO

Animal Hero - SERVICE/WORKING

Animal Hero - COMPANION

Animal Hero - THERAPY

Reason for Nomination *

How did you hear about this award?

Mailing

Social Media

Veterinarian

DVMA Website

Email

Other

Letter of Recommendation from DVMA Member #1 (Lifetime Achievement Award)

Letter of Recommendation from DVMA Member #2 (Lifetime Achievement Award)

Letter of Support from Veterinarian (Animal Hero Award)

Nominee Photo 1

Nominee Photo 2

Nominee Photo 3