Nomination Application

Individual Achievement Award Nomination Form


  • ISHMPR member in good standing
  • 10 or more years experience in planning, marketing, or public relations/communications, including at least five years of direct involvement in the healthcare industry.
Please enable JavaScript in your browser to complete this form.

Nominee's Demographic Information

Please fill-in the following information for the person that you are nominating.



Please describe how the nominee personifies each award criteria: Proven innovation in public relations or marketing, Enhancement of the healthcare marketing/public relations profession, Personal qualities and leadership abilities, and Community service/civic achievement. (max. 250 words)
Please share how the nominee has participated in or contributes to the enhancement of ISHMPR. (max. 250 words)
Share why you feel the nominee deserves to receive the award. (max. 250 words)

Nomination Submitted By

Please fill-in information about yourself below.