SDHIMA Achievement Award ApplicationSDHIMA Achievement Award Application Award Category * Leadership Mentor Rising Star Include a narrative summary (200 words or less), written by the nominator, that explains the nominee's qualifications for the award (please refer to the award descriptions for specific criteria) and why you think your nominee deserves national recognition. * About the SubmitterSubmitter Name * Submitter Name First First Last Last Submitter Email * About the NomineeNominee Name * Nominee Name First First Last Last Title Company Name Address Address Address Address City City State/Province Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State/Province Zip/Postal Zip/Postal Email * Phone * Letters of RecommendationProvide three letters of support from others who can elaborate on:The nominee's specific accomplishment(s)How the nominee has met the specific guidelines for the awardWhy the nominee is worthy of an awardLetters of support must be "signed" by the author Letter of support #1 Drop a file here or click to upload Choose File Maximum upload size: 268.44MB Letter of support #2 Drop a file here or click to upload Choose File Maximum upload size: 268.44MBAssociation ActivitiesIdentify the association by name and list most recent activity first, including dates in each category. State Level National Level Contributions to the Profession Submit the nominee's resume or curriculum vitae. * Drop a file here or click to upload Choose File Maximum upload size: 268.44MB Published articles, books, etc. Teaching Other contributions to the profession If you are human, leave this field blank. SubmitΔ
