NOMINATION FOR ZERKA T. MORENO AWARD


The Zerka T. Moreno Award is given annually to an individual who is not a TEP or a Fellow of the Society for distinguished work in psychodrama, sociometry and group psychotherapy.

Selection is based on accomplishments in the following categories:

  1. publications

  2. professional presentations

  3. research

  4. professional activities leading to the increasing utilization and awareness of psychodrama

  5. ASGPP membership activities.


Please complete the following form in as much detail as possible:


Name of nominee_______________________________________________________________


Address _______________________________________________________________________


City____________________________ State____________ Zip_______________


Phone ______________________________________ FAX ___________________________


E-mail ______________________________________________


Professional Publications







Presentations made to professional associations. Include organization name, date, and title or presentation








Recent research activities








ZERKA T. MORENO AWARD page 2


Professional activities leading to the increased utilization and awareness of psychodrama, sociometry and group psychotherapy.







ASGPP membership activities. Include such things as committee work, volunteer work at annual meeting, activity in local chapters.







Is the nominee a certified practitioner? ____Yes ____ No


From whom has the nominee received psychodrama training?







Additional comments




Signature of Nominator (may be self-nomination) ______________________________________


Address_______________________________________________________________________


City____________________________ State____________ Zip_______________


Phone ______________________________________ FAX _______________________


E-mail address_________________________________________________


Nominations must be postmarked no later than: August 1

Please mail this form to the national office:

American Society of Group Psychotherapy and Psychodrama

301 N. Harrison Street Suite 508 Princeton, NJ 08540