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Rural Health Award Nominations
Award Nominations
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Please Select the Award for Which You are Nominating an Individual or Organization
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Select Award
Outstanding Rural Health Practitioner Award
Outstanding Rural Health Achievement Award
Rural Health Distinctive Advocate Award
Rural Emerging Leaders Award
Name of Nominee
*
First
Last
Email
*
Phone
*
Nominee Address
*
Street Address
City
ZIP Code
Nominee Organization
*
Areas (towns, counties) affected by the nominees work:
*
Please attach a one page description of the nominees contribution to rural health care, accomplishments and the significance of this person’s work. A biographical sketch should be attached. You may also attach news articles and other documentation to support this nomination.
*
Max. file size: 300 MB.
Name of Person/Organization Submitting Nomination
*
First
Last
Address
*
Street Address
City
ZIP Code
Organization
*
Phone
*
Email
*
Name
This field is for validation purposes and should be left unchanged.
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Home
About
Resources
Member Management
Rural Organizations
Rural Health Day
Event List
View Job Listings
Advocacy
Policy Hub
Looming Crisis in Rural Health Care
Rural Health Awards
I Love Rural Health
Membership
Member Directory
Manage My Job Listings
Member Management
Membership Sign Up
Corporate Sponsorship
Post a Job Listing
Contact
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