Vitality Awards Candidate Nomination

This nomination is for professionals, volunteers and businesses who have demonstrated leadership and commitment in the areas of health, wellness or prevention. Please complete the information below.

(If you would rather complete your nomination with a fillable PDF, download this form, complete and email it to jstorey@mcmillenhealth.org)

Your Information

Nominee's Information

In this section, please provide information about the individual nominee or the business you are nominating.

Questionnaire

In this section, please tell us a bit about your nominee and why you nominated them for a Vitality Award.

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