NCVPRN Program of the Year Question Title * 1. Program Information Program Name Company Address Address 2 City/Town State/Province Zip/Postal Code Email address Phone Number Question Title * 2. NCVPRN/AACVPR Member Submitting Application Question Title * 3. Describe the program's activities during National Cardiac Rehab Week &/or National Pulmonary Rehab Week that promoted heart &/or pulmonary health and education with their participants, community, or hospital. Question Title * 4. Describe leadership in regards to the cardiac &/or pulmonary rehab industry. (This could be involvement with legislative initiatives, promotion of cardiac/pulmonary rehab in the community, or presentations to professional groups). Question Title * 5. Describe staff involvement and commitment to NCVPRN. (This could be as a board or committee member, active involvement in promotion of cardiopulmonary rehab, or involvement with legislative issues). Question Title * 6. Program is AACVPR Certified Cardiac Pulmonary Both Cardiac and Pulmonary Done