Nomination form

Miami Valley Hospital will be hosting our September 2018 Champions of Hope awards dinner for individuals in the Greater Dayton area who are making a difference in the fight against cancer.  The event will recognize a Cancer Survivor, a Miami Valley Hospital Medical Professional, a Cancer Caregiver and a Special Person of Inspiration.

We are seeking nominations for four categories, and our guidelines for consideration are:
  • 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, living or deceased, 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.
Please submit your nomination by June 12, 2018.  Thank you!
Fields marked with an * are required
As you write your nomination for a Champion of Hope, please reflect on the following questions and include this information:
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!