OkHIMA HIM Champion Award Nomination Form

The HIM Champion Award recognizes individuals that have advanced the HIM profession by volunteering and demonstrating excellence in mentoring and encouraging students or colleagues to achieve their best.

Note: It is suggested that the group or individual nominating this candidate inform the nominee that they are proposing his/her name to guarantee that the information submitted is accurate.

OkHIMA HIM Champion Award Nomination Form

Part I: The Nominee

Nominee
Nominee
Present Employment Status
Individual Notified of Nomination?

Part II: The Submitter

Submitter's Name
Submitter's Name

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