2025 Rural Health Award Nominations - Individual

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Submissions open December 4

Submissions close February 24

(no late exceptions)

SUBMISSION GUIDELINES

A maximum of three nominations per candidate will be considered.

If more nominations for one individual 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? *

Yes

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

Is your nominee a member of NRHA? *

Yes

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

AWARD CATEGORY

Award category (select only one): *

Louis Gorin Award for Outstanding Achievement in Rural Health Care

Rural Health Practitioner of the Year

Outstanding Researcher or Educator Award

Quinn NRHA Student Award

Have you nominated this person before? *

Yes

Nominee First Name *

Nominee Last Name *

Nominee Credentials (doctorates only)

Nominee Position *

Nominee Employer *

Nominee Street Address

Nominee Address Line 2

Nominee City *

Nominee State *

Nominee Zip Code

Nominee Phone Number *

Nominee Email Address *

Rural Areas / Populations Affected - individual *

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 person 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.