HBA St. Louis Healthcare Accomplishment Recognition Award (HCARA) Nomination Form

The HBA St. Louis chapter is accepting nominations for the 2019 Healthcare Accomplishment Recognition Award (HCARA).  All aspects of healthcare are eligible, including but not limited to, pharmaceuticals, medical devices, providers, payers, science, healthcare IT, professional services, government and non-profits.  Identify a woman who has inspired you and/or has accomplished great things and nominate her! (You may nominate yourself)

Candidate Criteria
 
An outstanding woman with a record of achievement and leadership who has:
 
• Made an outstanding or extraordinary contribution in healthcare that has addressed a pertinent need, problem or issue, or who has made a difference that improves the quality of life for others within the metro St. Louis area.
 
• Set an example to other women through her dedication and passion in the field of healthcare.

• Demonstrated desire to contribute to her organization, the industry, or to the local healthcare community as a volunteer.

• Shown a commitment to mentoring other women providing guidance to learn the necessary skills to become an empowered leader.

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* 1. Her first name:

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* 2. Her last name:

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* 3. Her company or organization:

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* 4. Her email address:

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* 5. Her phone number:

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* 6. Please describe why you chose to nominate this woman for the HBA HCARA award. Please include two specific examples of her accomplishments and how she distinguishes herself in healthcare.

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* 7. Share how she sets an example to others through a demonstrated commitment, passion and desire to contribute to her organization, her community and/or the industry overall.

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* 8. Has she shown a commitment to mentor and/or sponsor women by guiding others to learn the necessary skills to become an empowered leader. Please explain and provide examples.

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* 9. Has she made an outstanding or extraordinary contribution in healthcare that has helped to address a pertinent need, problem or issue? Has she made a difference that improves the quality of life for others in the St. Louis area? How has she impacted the community? How many lives has she touched? What difference has she made?

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* 10. Please use this space to add other information about the nominee and why you think she deserves this award.

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* 11. Your name:

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* 12. Your email address:

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* 13. Your phone number:

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* 14. I am interested in getting involved with the HBA.  Please contact me.

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* 15. Please add me to your mailing list for this event.

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