IAND Member Media Award Nomination | Indiana Academy of Nutrition & Dietetics

Nominees for the annual Member Media Award must be a member of the Indiana Academy. Applicants can be nominated by another Indiana Academy member using the ANNUAL MEMBER MEDIA NOMINATION FORM and a short narrative describing why this member should be considered.

Nominees are required to submit a portfolio with media events that occurred only in the current year, and a current resume. Include copies of print or social media if possible.

Nominations must be received by January 31st of the current year to be considered for the Member Media Award

Nomination Submitted by (IAND Member):*
First Last
Address:*
Street Address Address Line 2 City State ZIP Code
Daytime Phone Number:*
Nominee's Name:*
First Last
Job Title:*
Employer:*
Address:*
Street Address Address Line 2 City State ZIP Code
Daytime Phone Number:*
Email:*
Nominees are required to submit a portfolio with media events that occurred only in the current year, and a current resume. Include copies of print or social media if possible.
A listing of radio interviews, TV events or interviews, or other contributions to highlight media activities of the nominee. This includes hospital, corporation, or other organization newsletters, public service announcements, and letters to the editor. In creating the list, include the following information: Event (e.g., Channel 7 news), topic (e.g., portion sizes), date (month/year), duration (seconds, minutes or hours), location, audience reach (e.g., school sponsored, state, national, international). If it is school sponsored, specify level, pre-K to university.
Listing of Portfolio Items:*
Examples of Media Posts (copies of print or social media):
Drop files here or

Max. file size: 64 MB.
Multiple files can be uploaded to this field.
Is the nominee an AND member?*
- Yes
- No
Is it permissible to contact the nominee directly?*
- Yes
- No