2025 Golden Apple Nomination

1.

Tell Us About You
All items marked * are required for submission.

Your full name *This question is required.

Your relationship to HVO

Your primary email *This question is required. This question requires a valid email address.

Phone number

Phone type

Tell Us About the Nominee
To complete the nomination, we ask that you provide details about the nominee's contributions to, and impact upon, HVO and/or our project sites. You are welcome to upload a document/letter of recommendation detailing this information OR to provide details by answering the questions below.

2. Who are you nominating? *This question is required.

Upload letter(s) of recommendation or a summary document detailing the nominee's contributions to HVO and the impact they have had on the organization and/or project site(s). Be sure to detail their activities/contributions to HVO, the impact, and any additional factors that you consider relevant to the Golden Apple recognition. *This question is required.

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Alternatively, you can provide details about the nominee by answering the questions below.

Please describe all of the nominee's activities with/contributions to HVO :
(e.g. curriculum or educational resource development, mentoring of faculty/students/clinicians/fellow volunteers, didactic or clinical training, leadership, contribution to the sustainability & effectiveness of HVO, etc.) *This question is required.

Please describe the impact of these activities on our project site(s) and/or HVO:
(e.g. improved teaching methods, improved quality of care, new specialty training programs, etc.)

Please explain any additional factors that make this nominee deserving of the HVO Golden Apple recognition:

2025 Golden Apple Nomination

TELL US ABOUT YOU