NYSAND Annual Awards Application

Cover letter submitted that demonstrates that all eligibility criteria is met(required) Yes

Eligibility Criteria

Academy of Nutrition and Dietetics Member (students must be members by January 1st of the year in which they would receive the award).(required) Yes

Academy Number(required)

Student is enrolled in ACEND-accredited dietetics education program (CP, DI, DPD, DT)(required) Yes

Program Institution Name, City, State:(required)

Program Type(required) CP

DPD

Member for at least 10 years at time of submission(required) Yes

Initial practice experience not less than 5 years and not greater than 10 years. Interrupted careers or time periods no in practice are not to be considered or rationed into the 5-10 years of professional practice experience.(required) Yes

Active Member of NYSAND and Member of District Affiliate(required) Yes

Student or Active Member of NYSAND within the past three years as of May 1 in the year the award is given.(required) Yes

Student or Active Member of one of the district affiliates of NYSAND(required) Yes

NYSAND District(required)

Nominee is a Registered Dietitian/Nutritionist or eligible for registration(required) Yes

Nominee is Female(required) Yes

Nominee lives, works, or is attending Graduate School in New York State (please select all that apply). Lives

Works

Attending School

Nominee has, or is pursuing, a Master's degree in food service management or related field.(required) Yes

Degree & Institution(required)

Nominee is 35 years or older(required) Yes

Nominee is 35 years or younger (at time of May 1 deadline)(required) Yes

Date of Birth(required)

Nominee is a Registered Dietitian or Registered Dietitian Nutritionist(required) Yes

Nominee is a Registered Dietitian, Registered Dietitian Nutritionist or Dietetic Technician, Registered(required) Yes

Served on NYSAND Board or Coordinating Cabinet(required) Yes

Has not previously been selected as RYDY or RDTY(required) Yes

Have you previously won this award?(required) Yes

Current Resume/Vitae is attached(required) Yes

Applications must be submitted by 11:59pm EST February 1.
No late entries will be accepted.

For detailed awards information and documents required, please visit the NYSAND Annual Awards Information site.

Date of Submission(required)

Nominee Name (Please submit name as you would like written on the award certificate)(required)

Credentials (e.g. RDN, CDN, etc…)(required)

Place of Work and Title(required)

Home or Cell Number(required)

Please Indicate: Home Phone

Cell Phone

Email Address(required)

Home Address(required)

Please email any award materials to nysand@caphill.com. We will receive confirmation of your submission.

NYSAND Annual Awards Application

Applications must be submitted by 11:59pm EST February 1.No late entries will be accepted.

Applications must be submitted by 11:59pm EST February 1.
No late entries will be accepted.