SUBMIT YOUR NOMINATION BY JULY 21

Description
The Children’s Miracle Achievement Award honors a caregiver which has significantly elevated the care of children and has specifically been impacted by Children’s Miracle Network Hospitals’ funds.

Recognition

The recipient of the UC Davis Children’s Miracle Achievement Award will be recognized during ABC10’s #Give4Kids mediathon on Aug. 18, 2017.

The UC Davis Children’s Miracle Achievement Award top nominee applications will be forwarded on to the national Children’s Miracle Network to compete to be reviewed against nominees from 170 other CMN hospitals. Children’s Miracle Network will select one national award winner, who will be recognized during the Spring 2018 national CMN meeting in Orlando, Florida. The winning caregiver will receive two round-trip plane tickets and two nights’ accommodations.

Nomination
Please complete the form below:

Nominee Name (required)

Nominee Title(required)

Your Name (required)

Your Email (required)

Your Phone Number (required)

What makes this caregiver unique or outstanding?

How has this caregiver raised the level of care at your hospital?

What honors, awards, or recognition has this caregiver received and why?

How have children benefited, specifically, from the efforts of this caregiver?

How has CMN Hospital funds directly impacted their work?

Attach copies of awards, articles, and letters of recommendation from patients, co-workers, hospital administrators, etc.