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Arizona Department of Health Services
2024 Trauma Award Nominations

The Arizona Department of Health Service's 2024 Trauma Awards recognize outstanding individuals across Arizona who have gone above and beyond to serve the Arizona trauma system.

Please use this form to nominate an individual who has demonstrated a commitment to serving their community.

Award categories
  • Trauma Program Manager of the Year (Level I)
  • Trauma Program Manager of the Year (Level III)
  • Trauma Program Manager of the Year (Level IV)
  • Trauma Medical Director of the Year (All Levels)
  • Trauma Registrar of the Year (All Levels)
  • Injury Prevention Achievement Award (All Levels)
  • Research/Academic Achievement Award
  • Pediatric Preparedness/Pediatric Champion Award
All nominations must be submitted by March 15, 2023 at 5:00 p.m. for consideration.
 
The Trauma Awards will be presented at the State Trauma Advisory Board (STAB) meeting on May 16, 2024.
1.Which category are you nominating this individual for?(Required.)
2.Name of nominee:(Required.)
3.Phone number of nominee:(Required.)
4.Email address of nominee: (Required.)
5.Employer / Organizational affiliation of nominee:(Required.)
6.Please provide a short biography for the nominee and your reason for nominating them:(Required.)
7.Years of service by nominee:(Required.)
8.Please describe any academic advancement achievements by the nominee:(Required.)
9.Please describe any meritorious service awards the nominee has received from their agency or community:(Required.)
10.Please describe any of the nominee's community volunteer service:(Required.)
11.Please describe any other achievements or contributions of the nominee for consideration:(Required.)
12.Name of person submitting this nomination
(if any follow-up information is needed):(Required.)
13.Phone number of nominator
(if follow-up information is needed):(Required.)
14.Email address of nominator
(if any follow-up information is needed):(Required.)