Nominations will be open until April 1st! The winner will be announced on April 30th. This award is for someone who has helped change or save someone’s life. They could be either a donor or an individual who chose for their loved one to become a donor when they passed. They may even be a donor friend or family member who was inspired by their loved one's decision to become a donor. The winner’s journey will be inspiring and encourage others to register as donors. The recipient of this award will be a strong advocate for organ, eye, and tissue donation, and help others to decide to save lives.

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* 1. Your Contact Information 

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* 2. Your Nominee's Contact Information

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* 3. Is your nominee a living donor, deceased donor, or donor's loved one?

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* 4. The nominee's information continued

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* 5. Tell us about the nominee and their decision to become a donor, or how they are connected to their donor loved one.

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* 6. This award aims to honor those who have inspired others to become organ donors and/or those who are strong advocates for organ, eye, and tissue donation. Please describe how your nominee has inspired others.

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* 7. To the best of my knowledge, everything included in this form is true and accurate. Please initial.

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* 8. I agree to the Contest Rules. Please initial.