IPE

Imaging Professional for Excellence 2026 Nomination

Please complete all fields below and submit your nomination.

Guidelines

Nominator Information

Nominator’s Name

Nominator’s Email

Nominator’s Phone #

Nominee Information

Nominee Name

Nominee’s Email

Nominee’s Phone #

Job Title & Employer

Credentials

Highest Degree

Years of Experience

Professional Involvement

Professional Society Memberships Served on a committee within NCSRT or other society Held an office for NCSRT or other society Other

Work-related Involvement

Narrative

How does the nominee positively promote and advance the profession?Describe the nominee’s character and integrity.How does the nominee display commitment to patients, families, and colleagues?Describe how the nominee assists in others’ professional growth.Does the nominee radiate energy and make a difference? If yes, explain whyIn one sentence, what makes this person outstanding?

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