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NCAAE Distinguished Friend of Health Education Nomination Form

The Distinguished Friend of Health Education award recognizes individuals outside the profession who have supported health education programming, promoted it through advocacy, leadership, and service, and advanced health education through innovative programs.

Criteria:

  • 5 + years of demonstrated contributions
  • Non-health education profession or not primarily employed as a health educator
  • Support health education through advocacy at the local, regional or state level
  • Lead through service and innovative programming

Nomination Deadline: April 15 of each year.

Nominee Requirements: 

  • Complete an Application and Upload the Application Documents: Once the Recognition Committee chair receives the nomination, an email will be sent to the nominee with a link to the application form, where the 1-page vita and written statement can be uploaded. All documents must be in PDF format.

  • Curriculum Vita: Prepare a 1-page curriculum vita highlighting their experiences relative to the award criteria above.

  • Written Statement: Compose a 250-word statement summarizing your qualifications for this award.

Application Deadline: May 15 of each year.


Nominator's Contact Information




Nominee's Information






Has the individual agreed to be nominated?
 Yes, they have
 No, they have not
 I have not informed them of the nomination

Is the nominee a member of NC SHAPE?
 Yes    No    I don't know