Rural Health Conference Oregon Office of Rural Health OHSU 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the nominee's name in the designated field, followed by their daytime phone number and email address.
3. Fill in the nominee's address, ensuring to include street, city, state, and zip code for accurate identification.
4. If applicable, specify the nominee's position and organization. This helps contextualize their contributions.
5. In the provided sections, articulate your nominee’s exceptional contributions to rural life. Be specific about how they exceed job responsibilities and detail their long-term impact on the community.
6. Complete the nominator's information at the bottom of the form, including your name, contact details, position, and organization.
7. Once all fields are filled out accurately, save your document. You can then email it directly or choose another submission method as outlined.

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