2023 Annual Meeting: NOMINATE A VOLUNTEER, SURVIVOR OR CAREGIVER TODAY!

Let's Create Hope: Annual Meeting & Awards Celebration

This year’s Let’s Create Hope Annual Meeting & Awards Celebration will include the opportunity to celebrate the work of lung cancer advocates from across the state. Below are the five awards that will be given in 2023. If you would like to complete a nomination, please fill out the form below by February 3rd, 2023. Award recipients will be notified by February 24th, 2023 and will be recognized at the in-person event on Thursday, March 9th. Thank you for your submission. Please contact Jenni Danai for questions or more information.

Award Categories:

· Survivor- This award recognizes someone who has been diagnosed with lung cancer and who has used their journey to support others as a source of inspiration and hope.

· Volunteer- This award recognizes the impact, dedication and generosity of someone who gives their time freely to support the mission of the Lung Cancer Initiative. Health fair volunteers, community presenters, grassroots event planners, interns, and other volunteers may be nominated.

· Junior Volunteer- This award that recognizes the impact, dedication and generosity of young adults between the ages of 14-18 who give their time freely to support the mission of the Lung Cancer Initiative and make a remarkable impact on the lung cancer community through their efforts.

· Caregiver- This award is given in recognition of the compassion and devotion of someone who takes care or has taken care of an individual diagnosed with lung cancer.

· Healthcare Professional- This award recognizes a healthcare professional that goes above and beyond in an effort to provide supportive and patient-centered care to lung cancer survivors. Primary care physicians, oncologists, nurse navigators, clinical social workers, and other healthcare professionals may be nominated.

· Committee Member- This award recognizes the time, energy, and support given by a committee member who is exceptionally dedicated to supporting the mission of the committee on which they serve. Volunteers serving on the Evening of Hope Gala committee, Golf Tournament committee, Marketing committee, Access Grant committee, a LUNGe Forward committee, or any other committee may be nominated.

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* 1. Nominee's contact information.

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. Your contact information.

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 3. What award are you nominating this individual for?

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* 4. In a few sentences, please explain how this individual has embodied LCI’s core values in 2022: passionate support of survivorship, building community, compassion, empathy, transparency, integrity, professionalism, and responsible stewardship.

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* 5. In a few sentences, describe how this individual has had a positive impact on the life of someone impacted by lung cancer or the general lung cancer community in 2022.

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* 6. In a few sentences, describe how this individual had a positive impact on LCI programs/events in 2022.

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* 7. Please provide any additional information that you feel would be helpful in understanding this individual's contributions to the lung cancer community in 2022.