2025 Rural Health Award Nominations - Organization or Program

______________________________________________________________________________________________

Submissions open December 4

Submissions close February 24
(no late exceptions)

SUBMISSION GUIDELINES

A maximum of three nominations per organization/program will be considered.

If more nominations for one organization or program are received,

only the first three received will be considered.

No additional letters of recommendation will be accepted.

Awards are selected solely on the narrative appearing in this form

and must be submitted online.

Nominees and/or Nominators must have a connection to NRHA through membership.

For full descriptions of Rural Health Awards visit:

RuralHealth.US

NRHA MEMBERSHIP STATUS

NOTE: Either the person nominating or the nominee must be a member of NRHA.
Nominations that do not meet this requirement will be disqualified.

To verify membership status, contact Sharon Hutinett at shutinett@ruralhealth.US.

Are you (or is your organization) a member of NRHA? (Either the nominee or person/organization nominating must be a member of NRHA) *

Yes

I don't know (contact Sharon Hutinett at shutinett@ruralhealth.US to find out))

Is the organization or program you are nominating a member of NRHA? (Either the nominee or person/organization nominating must be a member of NRHA) *

Yes

I don't know (contact Sharon Hutinett at shutinett@ruralhealth.US to find out))

AWARD CATEGORY

Award category (select one): *

Outstanding Rural Health Organization

Outstanding Rural Health Program

Have you nominated this organization or program before? *

Yes

Organization or Program Name *

Organization (only complete if submitting a PROGRAM)

Organization Street Address

Organization Address Line 2

Organization City *

Organization State *

Organization Zip Code

Org. Representative First Name *

Org. Representative Last Name *

Org. Representative Credentials (doctorates only)

Org. Representative Email *

Org. Representative Phone Number *

Rural Areas / Populations Affected - organization *

Person submitting nomination

First Name of Person Nominating *

Last Name of Person Nominating *

Position *

Organization *

City *

State *

Phone Number *

Email Address *

Relationship to Nominee ("The nominee is my ________") *

Narrative

Every submission must include a narrative, 200-500 words in length, about why the organization or program being nominated should be considered for the selected award. This narrative is the sole instrument on which the nomination will be judged, and should be based on the criteria listed within each award category. Please include the significance of the work of the nominee to the community, populations or individuals served, and explain how rural people have benefited. Additional letters of recommendation will not be accepted to ensure equal consideration.

Narrative: *

0/500 words

For more information, contact ddouglas@ruralhealth.US.