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OkHIMA Rising Star Award Nomination Form

Part I: The Nominee

The Rising Star Award recognizes a promising newcomer to the field, who demonstrates exceptional motivation, capability, and leadership potential with great capacity for significant accomplishment in the field.

Note: It is suggested that the group or individual nominating this candidate inform the nominee that they are proposing his/her name to guarantee that the information submitted is accurate.
1. About the Nominee
This question requires a valid email address.
Present Employment Status
Individual Notified of Nomination? *This question is required.

Please describe and provide examples in the comment box below about how the nominee meets the commendable attribute.

Please describe and provide examples in the comment box below about how the nominee meets the commendable attribute.
4. Has the Nominee been in the HIM Profession for less than 10 years? *This question is required.
6. Nomination submitted by
Nominator's Signature *This question is required.
Clear
Signature of