2025 Individual Impact Award

Award Application

The Healthiest State Awards is our annual recognition program that celebrates individuals who reside in Iowa for extraordinary contributions to improve the physical, social and mental health of their community.

Nomination Tips:

Nominees shall exhibit the following characteristics:
- Build bridges among people with different backgrounds or viewpoints.
- Achieves positive change in their community.
- Be specific about the nominee's contributions. The selection committee is not provided the name of the nominee therefore you must share information about that person as if no one knows them. The selection committee has only your nomination on which to base their decision.
- Give examples of the work performed and when, where and who was served.
- Self-nominations will not be accepted.

Nominations will be evaluated based on your answers to the questions below. Please be specific and detailed.

Use examples that are quantifiable, if possible.

Question Title

* 1. Nominee Information:

Name

Address

City/Town

State/Province

ZIP/Postal Code

County

Email Address

Phone Number

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* 2. Nominator Information:

Name *

Company

Address *

City/Town *

State/Province *

ZIP/Postal Code *

County *

Email Address *

Phone Number *

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* 3. What is your relationship to the nominee? (i.e. spouse, friend, volunteer, co-worker, etc.)

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* 4. I have informed the nominee.

Yes

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* 5. Describe the nominee's work that inspired you to nominate this individual for the award. List examples of their healthy lifestyle activities which promote physical, social and/or mental wellbeing within their community, workplace, school, etc.

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* 6. What is courageous or innovative about the nominee's achievement?

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* 7. Bonus Question Alert: It’s Their Time to Shine!

Why does your nominee deserve the Healthiest State Initiative - Individual Impact Award?

Here’s your chance to showcase what makes your nominee truly exceptional. Highlight their passion, dedication, and creativity in promoting health and well-being. Share specific examples of their leadership, innovation, and the positive impact they’ve made on their community.

Use this opportunity to inspire the review committee and demonstrate why your nominee stands out as a leader in supporting health and well-being!