STARS Awards - 2019 - Nomination Form

This 2019 Star Awards will be given to individuals who have demonstrated an extraordinary level of commitment to pregnancy and infant loss concerns. No organizational awards will be given this year.

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* 1. Your Name

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* 2. Your Email

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* 3. Nominee Name

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* 4. Nominee Email

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* 5. I am nominating this individual for the following STAR Award (NOTE: Please do not nominate organizations)

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* 6. Please tell us why this individual is deserving of this award. Specifically provide some background on this individual and highlight notable efforts and accomplishments