2020 ACU Award Nominations
The deadline to submit a nomination is Friday, March 27, 2020
For questions, please contact Sabrina Edgington at sedgington@clinicians.org

Sign in to Google to save your progress. Learn more
Email *
For which award category are you nominating a candidate? *
Name of Nominee *
Nominee email address *
How do you know the candidate? *
Please describe the qualities you feel make this person or organization deserving of recognition this year. Limit 350 words. *
If chosen, will the nominee be able to attend the 2020 Annual Conference or NHSC 50th Anniversary Gala in Washington D.C.? *
What is your name? *
What is your phone number? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of ACU. Report Abuse