HIDE Corporate Awards Nomination Form

HIDE Awards Nomination

Please fill out this form to nominate your employer for an award for embedding Health, Inclusion, Diversity & Equity values in your workplace. Visit www.healthcareinclusiondiversityequity.org

1. Choose the Award
Choose the Award

HIDE AmbassadorHIDE Best Corporate CultureHIDE Community NetworkHIDE Corporate LeadershipHIDE Marketing/ CreativityHIDE Top 15 UK Employers
Reason For Nomination
Explain why your nominee deserves the selected award.

2. Nominee Information
Nominee's Name

First NameLast Name
Employer's Name

First NameLast Name
Phone Number

Area CodePhone Number
Nominee's E-mail Address
Nominee's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

3. Your Information
Your Name

First NameLast Name
Your E-mail Address
Should be Empty: