"Be worthy to serve the suffering."

-William W. Root, MD - Founder, 1902

Submit Administrative Recognition Award

Presentation Date

Please note on the data entry form that this information is to be submitted at least ONE MONTH PRIOR to the presentation date to allow for vendors turn-around times for the certificate and gift card (all fields are required).

Please select a date.

Chapter Information

Please select a chapter.
Please select a councilor.

Contact Information

Please enter First Name.
Please enter Last Name
If s/he is a member, please enter the member id. See "Member Search" at left sidebar
Please enter Email.
Please enter phone.
Please enter shipping name.
(no shipments made to P.O. boxes)
Please enter shipping address.

Administrator Information

Please enter first name.
Please enter last name.
(Must be at least 3 years)
Please enter years of service.
Please describe the activities performed by the Administrator.