Impac Software: The Elekta Group

IMPAC is now accepting nominations for 2008 IMPAC Laboratory Professional of the Year! This program honors those staff members who have made valuable contributions to the success of their clinical or anatomic pathology lab throughout the year. Contact the program administrator, Julie DeSantis, for additional information.

Laboratory Professional Nomination Form

Note! To ensure that your nomination is correctly processed, please complete all fields prior to pressing the Enter key on your keyboard or clicking on the Submit button appearing at the bottom of the form. * = required field.

Name of Nominee:		*
Title:		*
Institution:		*
Address 1:		*
Address 2:
City:		*
State/Province:		*
Postal Code:		*
Country:		*
Phone:		*
Fax:
Your Email:		*
Category:	Clinical Lab Anatomic Pathology
Please describe why the nominee should be honored as the IMPAC Laboratory Professional of the Year. Please take into consideration how the nominee has impacted your facility and community. (Please limit your response to 400 words.)		*

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