Utah Hospital Association - Utah Hospital Trustee Service Award

Nomination Deadline: Friday, June 28, 5 p.m.

The award presentation for 2024 will be featured at UHA Fall Leadership Conference, to be held at The Homestead Resort on Thursday evening, September 26th. The honoree must be able to attend the Thursday, September 26th dinner to receive the award.

Candidate name(*)

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Nominated by(*)

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Affiliated hospital/health system(*)

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Years on Board(*)

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Home address(*)

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City(*)

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State(*)

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Zip(*)

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Home telephone(*)

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Hospital/system phone(*)

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Candidate's Qualifications

Please list the candidate’s qualifications for the award

Significant contributions to the hospital/system:(*)

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Significant contributions to Utah’s healthcare industry:(*)

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Leadership in the community:(*)

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Offices or positions held, or committee appointments on hospital/system board;(*)

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Other qualities of the candidate:

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Uploads: If available, please upload a photography, resume, or bio information. Uploads may NOT exceed 2 MB and must be jpg, pdf, doc, or docx. They are not required.

Upload Photo

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Upload Resume or Bio

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(*)

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