Donate
Local Info Languages Careers Volunteer



header_tabbox_top2
Get Your Local Info
usmap Find out what is happening at your local American Heart area
Search by State
header_tabbox_top

 

2012-2013
Award Nomination
Watkins-Saunders Award

 

Candidate's Name:*
 
Business/Professional Title:*
 
Organization:*
 
Mailing Address:
 
Home Phone:
 
Business Phone:
 E-mail Address:*
  
    
 Nominator's Name:
 Nominator's Business/Professional Title:
 Organization:
 Mailing Address:
 
Home Phone:
 
Business Phone:
 E-mail Address:*
  
* Required Fields

In order for your nomination to be considered, you must complete all sections below and email the nominee’s resume to Baltimore.HeartBall@heart.org.  Please include the nominee’s full name in the file name.

Part 1: Detailed Description of the Work Performed
Please discuss the nature of the work performed, its impact in the Greater Baltimore Region, any special qualities, creativity, and/or resourcefulness the nominee has demonstrated; and, length of involvement in working to combat healthcare disparities among marginalized populations.

 
Part 2: Research and/or Professional Leadership Positions Held
List last 5 research or professional leadership positions held (titles) and a brief description of responsibilities. Be sure to fill out all 5 items
1.
2.
3.
4.
5.
 
Part 3: Significant Professional Accomplishments
List a brief description of significant professional accomplishments during the past 24 months. Be sure to fill out all 5 items
1.
2.
3.
4.
5.
 
Part 4: Community Involvement
List community involvement activities for this candidate. Be sure to fill out all 5 items
1.
2.
3.
4.
5.
 

Part 5: Endorsement
Please give the reason, in paragraph form, why you feel your nominee should be selected as the 2013 Watkins-Saunders Award recipient.

 
 

 

 

This site complies with the HONcode standard for trustworthy health information:
verify here.