
California Cancer Registrars Association
Distinguished Service Award Nomination Form
- Service to the association as evidenced in at least one or more of the following areas.
- Local component chapter participation, including serving as an officer, committee chairman, and/or committee member.
- State participation in CCRA, including serving as a board member, committee chairman, special appointment, and/or committee member.
- National participation in NCRA, including serving as a board member, committee chairman, special appointment, and/or committee member.
- Professional achievement as evidenced in at least one or more of the following areas.
- Development or refinement of professional theory and/or techniques documented through presentation or publication.
- Dissemination of knowledge of practice through consultation to others in the field. Recognized resource person in area of specialty.
- Successful completion of NCRA certification and maintenance of certified status.
- Conducting research and publication activities in at least one or more of the following areas.
- Publication of written material in reference journal articles, association publications.
- Publication of written material in monographs, instructional guides, position papers or books.
- Education leadership as evidenced in at least one or more of the following areas.
- Presenter at local, state, regional or national workshops, meetings, seminars or conferences.
- Community and/or patient education.
- Other contributions to the health care profession.
- Contributions to society through religious, civic, or other community activities.