We recommend that you complete a draft of your nomination in a Word document and copy and paste this form. Nominations will be evaluated based on the quality and completeness of the responses to the questions below. Each member of the Awards Committee will objectively review and rank nominations and selections will be determined by majority vote.
Supplemental information (letters of support, photos, etc) may be submitted as part of this nomination and is addressed in the last question on this form.
Please direct any nomination questions to Paul Crellin, Chair, AFP Awards Committee, at Paul.Crellin@conehealth.com, or (336) 832-9450. Nomination deadline is 11:59 p.m. on Saturday, June 30, 2018.