LifeShare Legacy Awards: Hospital Partner

This award celebrates a hospital whose dedication and teamwork exemplify excellence in donation. Their compassionate care and strong partnership help ensure that the gift of life is possible for those in need.

Hospital Partner Nomintor Information

Hospital Partner Nominator Name

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Last

Email Questions

Nominator Email

Nominator Phone

Hospital Partner Nominee Information

Hospital Name

Hospital Address

Address Line 1

Address Line 2

City

State

Zip Code

Hospital Primary Contact Name

First

Last

Hospital Primary Contact Email

Hospital Primary Contact Phone Number

Nomination Questions

Please provide detailed information on why you believe this nominee excels in supporting organ, eye and tissue donation in the community. We encourage you to also upload a brief 30 second video explaining why this nominee deserves the LifeShare Legacy Award for Hospital Partners.

Does any employee at this hospital have a personal connection to organ, eye and tissue donation? If yes, what is their connection?

How has this hospital supported organ, eye and tissue donation in the community? Please provide at least one specific example.

What makes this hospital unique in their efforts to support organ, eye and tissue donation in the community?

What other community initiatives does this hospital support?

Optional: Upload a 30 second video explaining why this hospital should be awarded the LifeShare Legacy Award for Hospital Partners.

Drag & Drop Files, Choose Files to Upload You can upload up to 3 files.

Optional: Upload any supporting photos or documentation that would strengthen your nomination.

Drag & Drop Files, Choose Files to Upload You can upload up to 3 files.

Upload any photos here.