Genie Hayes Nomination Form - Healthy Charlotte Alliance

Nominee Name*
First Last
Nominee Email*
Enter Email Confirm Email
Nominee Phone*
Nominee's Background:
How long has nominee been a member of Healthy Charlotte Alliance?
Please share why you believe this nominee is most deserving of the Genie Hayes award. Please include examples of leadership skills, activities, and long-term commitment to the Alliance.*
Please share what leadership positions the nominee has held with Healthy Charlotte Alliance.
What other volunteer positions has nominee held in the community?
Person Making Nomination
Name*
First Last
Email*
Enter Email Confirm Email
Phone*

Nominee's Background: