2019 First Responder Award Nominations

Honoring our Emergency Medical Personnel

Submit Nominations by October 14, 2019.

2019 Kaiser Permanente
First Responder Awards

Please nominate a first responder who has gone above and beyond to

Save a life or lives in danger
Partner with other agencies to ensure safety
Educate about injury prevention

Nominees and award winners will be honored at an event held later this fall.

For questions or more information, contact Stephanie.X.Glaze @kp.org or call (707) 624-2248.

Question Title

* 1. Who are you nominating?

First/Last Name of nominee

Organization

City/Town

Nominee Email Address

Nominee Phone Number

Question Title

* 2. Please tell us in 250 words or less why this person, or team of people, should be recognized. Please be concise and provide specific examples:

Question Title

* 3. Please provide your contact information as the nominator:

First/Last Name *

Organization *

City/Town *

Relationship to Nominee

Email Address *

Phone Number *

Winners will be chosen from each category by a select committee comprised of business leaders and health care professionals. Nominees and winners will be notified prior to the First Responder Appreciation Event.