CHARM Member Spotlight Nomination Form
Nominate yourself or another CHARM member to be featured for their contributions to health care professional well-being and systems improvement.
Name of Nominator
First Name
Last Name
Nominator Email Address
example@example.com
Name of Member Being Nominated
First Name
Last Name
Nominee’s Institution or Organization
Nominee’s Current Role or Professional Affiliation
Why are you nominating this member for a CHARM Member Spotlight? Please briefly describe their contributions, leadership, impact, or work related to health care well-being. Suggested length: 100–250 words.
Is there anything specific CHARM should highlight about this member?
May CHARM contact you if additional information is needed?
Yes
No
Submit Nomination
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