SD CHW/CHR Award Nomination
Please complete this form in its entirety to nominate an individual for one of the three CHW/CHR Awards. These awards will be presented at the 4th Annual SD CHW Conference on April 24th in Mitchell, SD. All nominations need to be submitted by March 15, 2025.
1. Choose the Award
Choose the Award
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CHW Champion
CHR Champion
CHW/CHR Ally of the Year
2. Nominee Information
Nominee's Name
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First Name
Last Name
Nominee Organization
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Nominee Position/Role
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3. Answer the following regarding your nominee.
In 2 to 3 paragraphs, please share the reasoning behind the nomination of the individual as it relates to this year's theme: Growing, developing, and sustaining the CHW workforce.
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Please share a success story or example of how this individual supports their organization and/or community, and/or patients/clients.
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If nominating a CHW/CHR Ally of the Year, describe the nominee's efforts to lift up and grow the CHW/CHR workforce, including specific ways they have worked diligently and consistently with, and advocated for, CHWs.
3. Your Information
Your Name
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First Name
Last Name
Your E-mail Address
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Your Phone Number
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Area Code
Phone Number
Send Nomination
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