Marc L. Parnes, MD Service Award Nomination Form Submission Deadline: September 19, 2025 | Questions? Contact Paula Cosby Nominee Name * First Name Last Name Nominee Email * Nominee Phone (###) ### #### Nominee Organization/Title Nominee Address Address 1 Address 2 City State/Province Zip/Postal Code Country Please describe why you believe this individual deserves this award. Highlight accomplishments. 500 word maximum Please describe how this individual fosters collaboration, inclusion and trust in their service to CMAA or the community. 500 word maximum Please describe a measurable or lasting impact this individual’s leadership has created. 500 word maximum Please describe the contributions this individual has made to improve the functioning of the CMA, Foundation, or its affiliate organizations. 500 word maximum Please describe what makes this individual’s volunteer service unique or exceptional? 500 word maximum How many years has this individual consistently served as a volunteer with CMAA. Nomination Agreement I confirm that all information provided is accurate to the best of my knowledge. I understand that submission does not guarantee selection. I have notified the nominee of this nomination. (Optional) Nominator Name * First Name Last Name Nominator Organization/Title (if applicable): Nominator Email Nominator Phone (###) ### #### Thank you for your nomination! For questions, contact Paula Cosby, Director, pcosby@cmafohio.org.