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 Submit your Healthcare Heroes Nomination


The nomination form below requires you to upload four (4) documents. Please be sure you have these items ready, as you will not be able to complete the process without them. They include:

1. A detailed one page summary that describes your nominee’s achievement.
2. The Nominee’s professional or related resume/CV
3. A fully completed and signed legal Certification and Release of Liability Form in which the nominator gives permission to NLM to participate in the Healthcare Heroes Awards program
4. A high resolution photo of the nominee (minimum size 5×7, 300 dpi; max. 10MB)

We also suggest you review the other required fields before beginning this process, so you are sure to know all the information you need to provide.

Please submit this form by the Deadline: November 3, 2017, 11:59pm EST.  Thank you in advance for submitting a nomination to our Healthcare Heroes Awards.

  • NOMINEE'S INFORMATION

  • NOMINATOR'S INFORMATION

  • DETAILS OF YOUR NOMINATION

  • FILES TO BE UPLOADED

  • Accepted file types: doc, docx, pdf.
    In a detailed one-page summary, describe this professional's achievements based on the category you checked above. Please be as specific as possible regarding the research, patient treatment, and/or impact this individual has made in the healthcare industry, and how that person reflects the qualities of integrity, empathy, curiosity, creativity, passion, perseverance, innovation, and courage.
  • Accepted file types: jpg, pdf.
    You'll find a pdf of this form here, if you haven't yet downloaded it. Please print and sign this document. Then, upload your signed document in this section.
  • Accepted file types: doc, docx, pdf.
  • Accepted file types: jpg, png, pdf.
  • Accepted file types: jpg, pdf.
    You may wish to include newspaper articles, letters of commendation, articles published by nominee, etc.
  • CERTIFICATION

  • COMPLETE YOUR NOMINATION

  • The nomination deadline is November 3, 2017, 11:59pm EST.
    Questions? Contact our Healthcare Heroes Awards staff at healthcareheroes@libertymuseum.org

    When you hit submit, the nomination process is completed. Your form will be sent to the National Liberty Museum, and you will receive an email confirmation that it was received.

Register now for NLM's Fall Professional Development Workshops

Our cutting-edge Professional Development Workshops give educators the tools and educational resources they need to succeed. Registration for the first workshop on Saturday, October 21 is now CLOSED. The second workshop, on Saturday, November 18, is still accepting registrations. Learn more and register today.

Now accepting nominations for our new Healthcare Heroes Awards

The National Liberty Museum is proud to launch the inaugural Healthcare Heroes Awards, presented by Teva Pharmaceuticals. This international awards program recognizes inspirational heroes in healthcare research and treatment whose accomplishments have profoundly benefited their patients, their field, and the global community. The program will present an award to an outstanding honoree in four categories. The nomination deadline is November 3. Learn more.

NLM to host a series of FPRI lectures

The Foreign Policy Research Institute (FPRI) is dedicated to providing the insights of scholarship on foreign policy and national security challenges facing the United States. The National Liberty Museum is hosting a series of FPRI lectures throughout the fall. The next lecture is on November 7. It is a Templeton Lecture on the role of the Orthodox Church in the conflict in Ukraine. Reservations are required. Learn more.