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Clarence W. Hultgren CPTA Service Award

Deadline for receipt: June 1, 2020


To acknowledge and honor individuals who have provided exceptional service to the CPTA and its members. This award may be presented to members of the CPTA, or friends of the CPTA who are not eligible for membership, whose contributions to the CPTA as a whole, at both the Chapter level and the District/Special Interest Group level, have been of exceptional value.

Criteria for Selection of Clarence W. Hultgren CPTA Service Award

Contributions should be exceptional value to the Chapter:

  1. May be in the realm of any area(s) of concern to the Chapter as a whole or to the Districts/SIGs
  2. May be those made through an individual’s service on one or more elected or appointed groups, or in one or more elected or appointed positions, and/or in one or more other capacities at the Chapter and/or District/SIG level.
  3. Will be judged on the basis of the results of an individual’s service, and not merely the duration or continuity of that service.
  4. Contributions or the results of those contributions are well known by the CPTA membership.

Eligibility is defined for two categories for this award:

  1. Member Category = Any member of the APTA in good standing.
  2. Friend of CPTA Category = Any individual who is not eligible for membership in the APTA.

The individual must not be an employee of the CPTA or a member of its Board or Awards Committee at the time of nomination.

Please be as specific as possible in completing this form so that the member recommended can receive full consideration. Refer to the award criteria for the specific types of service and significance of the service to be recognized.

INSTRUCTIONS: Recommending party must send the recommendation form and all attachments as a complete packet. 

Clarence W. Hultgren CPTA Service Award

  1. Attach a narrative description of the service of exceptional value provided to the CPTA and the results of that service. Include approximate inclusive dates of service (e.g. years).
  2. Attach a resume or vitae of the member recommended.