2016 Utah Community Star Stories

About the UT-SORH Community Stars

NOSORH (National Organization of State Office of Rural Health) and UT-SORH (Utah State Office of Rural Health) would like to use the Rural Health Week in Utah to honor "community stars," individuals or organizations who:

have made a positive impact on their local community,
brought services that may not have been there before,
shown local leadership,
demonstrated a long term commitment to improve rural health,
have been a dependable partner or have helped make a change for better health, and/or
ensured access to care or championed innovation in rural communities.

There is no limit to the number of submissions per person. NOSORH will develop media stories for you to share and a publication to honor their work.

If you have any questions, please call Owen Quinonez at 801-273-6620 or oquinone@utah.gov

Deadline for Submissions: October 30, 2016.

Question Title

* 1. Individual making the submission

Name

Company

City/Town

State

Email Address

Phone Number

Question Title

* 2. Which of the following best describes your nominee? You may make multiple selections.

Individual community member

individual practitioner

Individual EMS staff

Clinic

Hospital

Other (please specify)

Question Title

* 3. Nominee Contact Information

Name

Organization

City/Town

State

Email Address

Phone Number

Question Title

* 4. Please explain why you are nominating this person to be a Community Star. Be specific in describing what they did, when it happened, where it took place, etc. You may copy and paste from a Word document, although not all formatting may be saved.