________________________________________________________________________________________________
Please note: the nomination deadline is January 30th of each year.
To be eligible for the R.E.H.S. of the Year Award, a nominee must:
1. Be a member in good standing of the NJ Environmental Health Association; and
2. Be actively engaged in the field of public health; and
3. Made major impact within the previous year in the field of public and environmental health by the development of a special program, educational activities, involvement in the legislative process, or any special achievement which enhances the delivery of public and environmental health services; and
4. Be nominated by a NJ licensed Registered Environmental Health Specialist.
Please complete both pages of this form, and return it via email at info@njeha.org or mail it to
NJEHA at the address listed at the bottom of the page. Please print clearly.
___________________________________________________________________________