2026 Award Nominations

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Name
This field is for validation purposes and should be left unchanged.
Nomination for: (Please select one)*
Nominee Information (person nominated for the award)
Name*
First Last
Title*
Organization*
Program
Email*
Enter Email Confirm Email
Nomination Submission (150-300 words)*
File upload for support/endorsement letters
Max. file size: 5 MB.
Max. file size: 5 MB.
Max. file size: 5 MB.
Nominator Information (person who submits nomination)
Name*
First Last
Title*
Organization*
Address*
Street Address City State / Province / Region ZIP / Postal Code
Phone*
Email*
Enter Email Confirm Email
Terms*
- I have read and agree to the terms of the guidelines for the 14th Annual Telehealth Summit of SC Call for Award Nominations.

Nominee Information (person nominated for the award)