Champions of Hope Nominations

Nominate your Champion of Hope
Now through March 9, 2020

Help us recognize those who inspire hope among patients and families dealing with cancer.

We are seeking nominations in each of the following categories:

• Cancer Survivor: An individual who has battled cancer, is noted for giving back to others, and has inspired hope and determination in others battling the disease.

• Medical Professional: An individual from Miami Valley Hospital who has made contributions to the field over and above their professional responsibilities. A clinician who has touched the lives of one or more cancer patients.

• Cancer Caregiver: An individual who has made a difference in the lives of patients with cancer through self-sacrifice and unwavering optimism.

• Person of Inspiration: An individual who has reached out or advocated for others in the fight against cancer in a meaningful, impactful way. A special person whose example truly inspires others to continue through their own struggles with cancer.

Deadline for submission is March 9, 2020

 

If you are a human and are seeing this field, please leave it blank.

Fields marked with an * are required

I am nominating this candidate for * Survivor Medical Professional Caregiver Person of Inspiration

Nominee's Name *

Nominee's Address *

Nominee's Telephone Number *

Nominee's E-mail Address

Your Name *

Your Address *

Your Telephone Number *

Your E-mail Address *

As you write your nomination for a Champion of Hope, please reflect on the following questions and include this information:

Why are you nominating this person? *

How long have you known her, or him? *

How has this person made a difference, and what is their unique contribution to our cause? How have they made an impact? *

Please tell us your candidate's story, explaining how he/she has contributed as a Champion of Hope in the fight against cancer. *

What is their experience in the community in work against Cancer? *

What else should we know about your candidate as a Champion of Hope? *

Please note that we will be sharing your nomination with your nominee, unless otherwise requested by you: *

• Yes
• No, I would like to remain anonymous.

Please feel free to tell us any other stories, experiences, or observations you have about your candidate.

We look forward to recognizing individuals from our community in the fight against cancer. Thank you!