Nomination Form: 2025 NCPMA Membership Awards

Please fill out the information below to nominate someone for one of our Membership Awards.
In order to obtain a Hall of Fame, Lifetime Membership or Honorary Membership, the individual must be nominated by two (2) of the individual’s peers in the pest management industry who personally worked in the Association with the nominee and can attest to his or her contributions and said nominee must be approved by the Membership Committee.
Member Award Types:
Hall of Fame: This designation is to recognize those pest management professionals who have made significant contributions to the Association and to the pest management industry through their leadership and example. Hall of Fame members shall not be required to pay dues or assessments. They shall not have voting privileges unless designated by the member's firm in writing to the Secretary of the Association that the individual be recognized as a voting representative and such privilege meets the requirement in Article III, Section 7.
Lifetime Membership: An individual who has been an active member of the Association for twenty (20) years or longer may, upon retirement from the industry, be eligible for Life membership in the Association. Life members shall not be required to pay dues or assessments. They shall not have voting privileges unless designated by the member's firm in writing to the Secretary of the Association that the individual be recognized as a voting representative and such privilege meets the requirement(s) contained in Article III, Section 7 of these Bylaws. Any member desiring this status and meeting the above qualifications should make application to the membership committee.
Honorary Membership: Shall be open to any non-industry individual who has performed outstanding service to the pest management profession. Honorary members shall not be required to pay any dues or assessments and shall not have voting privileges.
DEADLINE FOR SUBMISSION: Nov. 14, 2025

Nomination

Which membership award are you nominating this individual for? (see above descriptions)
Date submitted to Membership Committee ?

Nominator

Nominator First Name
Nominator Last Name
Nominator Email
Nominator Phone

Nominee

Nominee First Name
Nominee Last Name
Nominee Email
Nominee Phone
Nominee Company
Company Address
Describe how you worked in the association with the person that you are nominating and how this person made a significant contribution to our association and industry.
   - denotes required fields