7th Annual SC Health Equity Summit Champion Awards Nomination Form

7th Annual South Carolina Health Equity Summit Champion Awards

Complete the information below to nominate someone for the Health Equity Champion Award. All winners and nominees will be acknowledged at the 7th Annual South Carolina Health Equity Summit on Thursday, April 17th at the Columbia Metropolitan Convention Center.

Nominees for this award can include healthcare professionals, community leaders, non-profit organizations, government agencies, research institutions, or any entity that has made a remarkable impact on health equity.

The nominations will close Friday, January 3, 2025 at 5pm.

NOMINATION INFORMATION

The Alliance for a Healthier South Carolina is excited to announce the Health Equity Champion Award Program. The awards will celebrate and honor individuals, institutions, or initiatives that have made significant strides in reducing disparities in healthcare access, outcomes, and overall well-being. It underscores the importance of achieving equitable health outcomes for all, regardless of race, ethnicity, socioeconomic status, gender, age, or other factors.

AWARDS
The Health Equity Circle of Champions Award (For Individuals)
The Health Equity Circle of Champions Award is a distinguished recognition that honors and celebrates individuals who serve as beacons of inspiration in the pursuit of health equity. Recipients of this award have exhibited exceptional leadership qualities, driving positive change, fostering inclusivity, and contributing to the development of innovative solutions that address the root causes of health disparities. By recognizing and highlighting their achievements, the award aims to inspire others to follow in their footsteps, creating a ripple effect that advances the collective mission of achieving health equity for all.

The Vince Ford Health Equity Award (For Organizations)
The Vince Ford Health Equity Award is a distinguished recognition presented to state and local organizations that have demonstrated outstanding commitment and innovation in advancing health equity. This award celebrates entities that have implemented groundbreaking initiatives, programs, or strategies to address health disparities. Award recipients serve as inspiration for how creativity and collaboration can be utilized to address systemic challenges and promote equitable health for all.

Please select an Award for your nomination*

NOMINEE'S INFORMATION

Nominee's Name*

First NameLast Name

Nominee's Title*

Nominee's Organization*

Nominee's E-mail Address*

Nominee's Phone Number*

Area CodePhone Number

NOMINATED ORGANIZATION'S INFORMATION

Name of Organization*

Organization's E-mail Address*

example@example.com

Organization's Phone Number*

Area CodePhone Number

NOMINATOR'S INFORMATION

Your Name*

First NameLast Name

Your Title*

Your Organization*

Your E-mail Address*

Your Phone Number*

Area CodePhone Number

TELL US WHY!

Please include a few sentences about how your nominee exemplifies the award criteria.*

0/200

LETTERS OF SUPPORT

3 Letters of support (not exceeding 1 page in length each) telling the awards committee how the nominee has made significant contributions to health equity is required.

Letter of Support #1*

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Letter of Support #2*

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Letter of Support #3*

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