KHIMA Awards Form

Do you know a Rising Star, want to recognize a KHIMA member for their mentoring ability, or perhaps you would like to recognize a KHIMA member for their outstanding contributions to our profession?

Now is the time to recognize and acknowledge those extraordinary people that we work with. KHIMA offers a way for you to take the opportunity to recognize others. There is no better time than the present to take a minute and nominate someone (including yourself) for doing an extraordinary job.

KHIMA Awards Form

Nomination

Select the award you would like to make a nomination for.

Champion Award

Motivator Award

Outstanding Member Award

Rising Star Award

Nominee Information

First Name

Last Name

Credentials

Street Address

City

State

Zip

Email Address

Nominee Employer and Title

Does your nominee know about this nomination?

Yes

No

In 250 words or less, explain the nominee's qualifications for the award and why you think your nominee deserves state recognition.

Please list additional individuals (HIM or non-HIM professionals) that you feel would be able to provide additional information to support this nomination. Please include name, phone number and email address.

Supporting Documentation

Nominee's resume or curriculum vitae
Letter's of support from others who are familiar with the nominee's accomplishments
Other written materials such as articles, project descriptions, etc., where applicable

Please attach any supporting documentation, if available:

Maximum upload size: 268.44MB

Contact information for person making the nomination

First Name

Last Name

Company Name

Street Address

City

State

Zip

Email Address

Phone

KHIMA Awards Form

Nomination

Nominee Information

Supporting Documentation

Contact information for person making the nomination

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