2025 Live Fierce Award Nomination Form

The Live Fierce Award recognizes those who LIVE FIERCE for themselves, their loved ones, their community – a catalyst for longer, healthier lives for everyone, everywhere.

The American Heart Association is committed to ending tobacco and vaping, especially among youth. Smoking is a leading risk factor for heart attacks and heart disease, while vaping causes numerous health problems while leading to nicotine addiction.

As the Live Fierce Award sponsor, Community Health Network will recognize the life-changing efforts made by a teen, school system, or group of individuals in Central Indiana to end tobacco & vaping, improve their health and lower their risk.

Nominations for the LIVE FIERCE Award can be submitted by friends, co-workers or relatives, and individuals can nominate themselves. Please submit your nomination by September 5th.

Nominee Name*

First NameLast Name

Company/Organization*

How may we contact the nominee if he or she is selected?

Phone Number*

Please enter a valid phone number.

Email*

example@example.com

Nominated by (your name) *

Phone Number*

Please enter a valid phone number.

Email*

example@example.com

Relationship to Nominee *

The American Heart Association is addressing the continuing threat of heart disease by calling on everyone to Live Fierce. Live Fierce is the attitude that invites each of us to take charge of our lives and our health. When we Live Fierce, we are resilient, relentless, unstoppable in creating meaningful change and equitable health impact in our community.

Explain the meaningful impact the nominee of the LIVE FIERCE Award has exhibited to end tobacco & vaping, improve their health and lower their risk.*

For official challenge rules: click here