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2026 DIA EMEA Regional Inspire Awards Nomination Form
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1.
Your Information:
(Required.)
First Name
Last Name
Email Address
Organisation
Job Title
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2.
Choose the award:
(Required.)
Outstanding Contribution to Health Award
Excellence in Service Award
Leader of Tomorrow
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3.
Tell us about your nominee:
(Required.)
First Name
Last Name
Email Address
Organization
Job Title
LinkedIn Profile
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4.
Please describe how the nominee demonstrates excellence and why you believe this individual deserves the award.
(Required.)
Current Progress,
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