Hospital Marketing National Hall of Fame Nomination Form

Hospital Marketing National Hall of Fame Nomination Form
Final Deadline: October 28, 2022

The Hospital Marketing National Hall of Fame is designed to honor individuals who have demonstrated extraordinary achievement in the advancement of marketing of hospitals or healthcare facilities. These elite marketing executives are selected based on actual accomplishments, influence on future consumer launches or campaigns, and recognized contributions and service to patients as well as the hospital marketing industry.

Eligibility:
- Have worked in the system during the 2022 calendar year;
- Should hold the role of Vice President or higher;
- It is not necessary to be retired from the field.
All nomination details are kept confidential. You may nominate as many individuals from hospitals and healthcare facilities as you would like.

Please email Jennifer Kovack (Jennifer@dtcperspectives.com) with any questions.
Nominee Full Name*

First NameLast Name
Nominee Title*
Nominee Company*
Nominee Email*
To be used only in regard to nomination.
Nominee Phone*

Area CodePhone Number
Nominee Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Nomination Reason
Or Upload a Nomination Letter(s) Here

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Nominator Full Name*

First NameLast Name
Nominator Title*
Nominator Company*
Nominator Email*
Nominator Phone*

Area CodePhone Number
Nominator Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Connection to Nominee*
If the nominee (and only the nominee) asks DTC Perspectives who nominated them, do we have your permission to tell them? (Nomination details will not be shared; only your name and company will be given.)*

No, do not share.Yes, you may tell the nominee.
Should be Empty: