Please complete the following details for nominations. 

Thank you for your nomination of a MaHIMA member for an annual award.  Once confirmed by the awards committee for the award you will be contacted for notification.  Contact Marianne Garfi, Chair, MaHIMA Awards Committee at marp5000@live.com or Elisa Pelchat, Administrative Director, MaHIMA at efpelchat@mahima.org with any questions.

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* Nominees First Name (or Team)

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* Last Name

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* Credentials

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* Job Title

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* Organization/Facility

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* Email

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* Phone

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* Your name:  Nominator (Include first name, last name, email and phone)

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* Award Nomination (Please select one)

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* Explain the professional role and extraordinary achievement of the individual/team.  Please refer to award descriptions for criteria and examples. Additional information can be emailed to marp500@live.com.  Detailed descriptions can be found here.

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* Provide specific examples, challenges, and outcomes.

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* Describe how this individual/team exceeds the normal expectations of professional performance and is deserving of recognition

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