Quick Links

Nomination Form for APTA Nebraska Awards 2026

Please complete and submit this electronic form, and upload the nominee’s curriculum vitae (for the MES award), and letters of support no later than February 22, 2026.

Awards will be presented during the annual Business Meeting.

With questions, email: Jake ([email protected]).

* For which award are you submitting a nomination?

Clinical Excellence Award-PT
Clinical Excellence Award-PTA
Achievement in Education Award
Friend of Physical Therapy Award
Mary Ellen Sacksteder Award

The following questions refer to the individual who is being nominated for an award.

* Nominee Name: (name of individual who you are nominating)

* Address of nominee: (address of individual who you are nominating)

* City: (city where individual who you are nominating resides)

* State: (the state in which the nominee resides)

* Zip Code: (nominee's zip code)

The following questions are for you, the person sending in the nomination.

* What is your name?

* What is your email address?

* What is your phone number?

* Please list your address, city, state and zip code.

* Electronic Signature: By typing your full name here, you acknowledge that the information you are submitting is true to the best of your knowledge. You confirm that you are submitting this candidate for an award.

Upload the Curriculum Vitae here - Only needed for the Mary Ellen Sacksteder award

* Please submit letters of support here. Please combine all documents into one PDF.

Members Log In
American Physical Therapy Association Nebraska Chapter ID:

Password:

	Forgot Username/Password?