Paul Dudley White Award 2025 Nomination
Nominator Information
Name
First Name
Last Name
Email
example@example.com
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Nominee Information
Name
First Name
Last Name
Degree
Position Title/Occupation
Employer/Company
Major Occupational Specialty
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Phone Number
Additional Questions
How has this individual made distinguished and lasting contributions to support the AHA’s mission of building healthier lives free of cardiovascular disease and stroke?
How has this candidate been involved with the American Heart Association on a local /regional or national level?
How has this candidate made major contributions to the field of cardiovascular or cerebrovascularmedicine/surgery?
How is this candidate similar to Paul Dudley White in humanistic qualities ( e.g. compassion, integrity, patient advocacy, bedside manner)?
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