Home » Healthy Community Recognition Nomination Form
Nomination Form
To nominate an organization for this award, pleased complete the form below. Note that the term "organization" includes partnerships, networks, associations and coalitions.
Nominator Contact Information
Please enter the following information about yourself; i.e. the person making the nomination.
Nominee Information
Please enter the information about the nominee; i.e. the organization, coalition, association or network that you are nominating for the Healthy Communities Recognition Award.
Please explain how this organization has strengthened the economic, social and/or environmental well-being of its community.
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Enter the characters shown in the image.