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March of Dimes AZ Nominations
Nominations have closed. Finalists will be announced in October at our VIP party. Winners will be honored Sunday, November 12 at March of Dimes Signature Chefs event at Talking Stick Resort in Scottsdale. Stay tuned!
Who would you like to nominate?
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Where does your nominee work?
What is the nominee's position?
Nominee's e-mail address
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example@example.com
Phone Number
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Nominator:
Person submitting the nomination
Full Name
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First Name
Last Name
Company
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Position
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E-mail
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example@example.com
Phone Number
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There are four options to choose from.
Select the best fit for your nominee.
Categories:
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Distinguished Nurse of the Year: (ten plus years in the nursing industry required)
Diversity and patient advocacy champion in the public or private healthcare system.
Excellence in perinatal health including mental health care.
Nursing Excellence in the Neonatal Intensive Care Unit or Pediatric Intensive Care Unit
What two traits make this individual stand out?
How long has the nominee worked in the industry?
In one sentence, what makes this individual a healthcare hero?
How is your nominee making a difference in the community?
Describe the situation where the nurse or healthcare worker went above and beyond?
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Submit a picture of your nominee
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