Nominee must be actively involved in health promotion and disease prevention in the City for at least three (3) years.
Nominee must be recognized for his/her impact on the health of the City.
Nominee must have shown significant contributions to public health, health promotion and disease prevention in the City and have created, delivered, promoted, or influenced health practices, or influenced public perception, attitudes, and awareness of public health.
Nominee need not be a health professional.
Nominee must live or work in Stamford.
Prior recipients are ineligible for this award.
Leadership: Nominee has demonstrated leadership through work and service.
Community Health Improvement: Nominee demonstrates success in creating solutions to public health problems and has contributed to making improvements in the health status of the community.
Collaboration: Nominee promotes collaboration and cooperation among individuals, organizations and the Health Department.
Advocacy: Nominee has been involved in promoting health and healthy behaviors and/or protecting the health and safety of the residents of Stamford and/or has positively influenced public awareness of public health.
Full name of nominee
Address of nominee
Email of nominee
Telephone number of nominee
A nomination letter no longer than two typed written pages from a member of the Stamford community summarizing the nominee's contributions to public health, health promotion, and or disease prevention in the past three years.
Nominee’s current curriculum vitae.
Full name of nominator
Nominator’s organizational affiliation
Please submit all documentations to Deborah Clark
By email: email@example.com. If emailing, please submit all documentations as a WORD or PDF attachment.
Attention Deborah Clark
City of Stamford Health Department
888 Washington Blvd, 8th FL
Stamford CT, 06901
Nominations must be submitted by 4:30 p.m. February 8, 2019.
Examples of qualifications that contribute to a strong nomination include:
Involves partnerships in the design and delivery of public health services.
Addressed the root causes of conditions that affect community health.
Improves access to health care and reduces the health disparities.
Demonstrates creativity and innovation.
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