Nomination Form

Thank you for your interest in the 2026 Healthcare Heroes campaign!

We are looking for Healthcare Heroes who are making a difference in New Hampshire!

They are the ones who are working tirelessly to ensure those around them are safe, healthy, and well-cared for. They consistently put others before themselves and repeatedly go above and beyond the call of duty. Whether they are on the front line or behind the scenes, these individuals do what they do, not for the glory or recognition, but for their passion to help and heal others.

We want to thank our healthcare workforce in a meaningful way while sharing their stories of hope, resilience, and dedication.

Nominate your Healthcare Hero Today! Nominations close May 18th.
Tell us about the person you are nominating!
A Healthcare Hero is someone who embodies the following values:
Dedicated: A Healthcare Hero is loyal and can be counted on by patients and colleagues alike.
Compassionate: A Healthcare Hero takes the time to understand others and is patient-focused with a servant's heart.
Empathetic: A Healthcare Hero is able to understand the feelings of others and is steadfast in their commitment to giving their best day after day.
Resilient: A Healthcare Hero adapts to different situations and goes above and beyond in their work and relationships.
A Leader: A Healthcare Hero promotes and assures quality in ways beyond their job responsibilities and is a pillar of strength who leads by example.

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* 1. Nominee's Name

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* 2. Nominee's Title

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* 3. Nominee's Place of Work

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* 4. Location of the Nominee's place of work/organization (City/ Town)

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* 5. What is the best way to contact your Nominee? Please provide email and/or phone number if available.

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* 6. Tell us a story about a time when your Nominee was a Healthcare Care Hero in action or how they embody the values above. (1-2 paragraphs)

Tell us Your Information

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* 7. Your Name

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* 9. Your Phone Number

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* 10. What is your relationship to the Nominee?

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* 11. How did you hear about the 2026 Healthcare Heroes campaign?

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