Heroes for Young Heart Awards

Heroes for Young Hearts Award Nominations

All information provided will be viewed by PHW Staff and Selection Committee.

IMPORTANT: To be considered by the Nominating Committee, nominations should be for one (1) individual per category (no groups) and must include specific details about the actions taken by the nominee between October 2022 and September 2023 to support the PHW mission (i.e., research that helps advance our cause, organized 3 community heart screening events, placed 50 AEDs, trained others in CPR & AED use, etc.)

Please share contact information for you, as the individual completing the nominations

* Contact Full Name

0/50

* Contact Address

0/50

* Contact Email Address

0/50

* Contact Phone Number

0/50

Nominee #1

* Select Award Category

Advocacy Champion- Medical or Allied Health Professional

Advocacy Champion - Youth (must be 20 years old or younger)

Advocacy Champion - Adult (must be 21 years old or older)

Young Survivor Champion (must be a SCA survivor, 20 years old or younger)

Advocacy Champion Local (must be local to Durham, NC.)

* Nominee #1 Full Name

0/50

* Nominee #1 Email Address

0/50

* Nominee #1 Phone Number

0/50

* Specific details of action by Nominee #1 (i.e., research that helps advance our cause, organized 3 community heart screening events, placed 50 AEDs, trained others in CPR & AED use, etc.)

0/500

Upload Photos to support Nominee #1: Upload Photos HERE

Nominee #2

Select Award Category

Advocacy Champion- Medical or Allied Health Professional

Advocacy Champion - Youth (must be 20 years old or younger)

Advocacy Champion - Adult (must be 21 years old or older)

Young Survivor Champion (must be a SCA survivor, 20 years old or younger)

Advocacy Champion Local (must be local to Durham, NC.)

Nominee #2 Full Name

0/50

Nominee #2 Email Address

0/50

Nominee #2 Phone Number

0/50

Specific details of action by Nominee #2 (i.e., research that helps advance our cause, organized 3 community heart screening events, placed 50 AEDs, trained others in CPR & AED use, etc.)

0/500

Upload Photos to support Nominee #2: Upload Photos HERE

Nominee #3

Select Award Category

Advocacy Champion- Medical or Allied Health Professional

Advocacy Champion - Youth (must be 20 years old or younger)

Advocacy Champion - Adult (must be 21 years old or older)

Young Survivor Champion (must be a SCA survivor, 20 years old or younger)

Advocacy Champion Local (must be local to Durham, NC.)

Nominee #3 Full Name

0/50

Nominee #3 Email Address

0/50

Nominee #3 Phone Number

0/50

Specific details of action by Nominee #3 (i.e., research that helps advance our cause, organized 3 community heart screening events, placed 50 AEDs, trained others in CPR & AED use, etc.)

0/500

Upload photos to support nominee #3 Upload Photos HERE

Nominee #4

Select Award Category

Advocacy Champion- Medical or Allied Health Professional

Advocacy Champion - Youth (must be 20 years old or younger)

Advocacy Champion - Adult (must be 21 years old or older)

Young Survivor Champion (must be a SCA survivor, 20 years old or younger)

Advocacy Champion Local (must be local to Durham, NC.)

Nominee #4 Full Name

0/50

Nominee #4 Email Address

0/50

Nominee #4 Phone Number

0/50

Specific details of action by Nominee #4 (i.e., research that helps advance our cause, organized 3 community heart screening events, placed 50 AEDs, trained others in CPR & AED use, etc.)

0/500

Upload photos to support nominee #4 Upload Photos HERE

Nominee #5

Select Award Category

Advocacy Champion- Medical or Allied Health Professional

Advocacy Champion - Youth (must be 20 years old or younger)

Advocacy Champion - Adult (must be 21 years old or older)

Young Survivor Champion (must be a SCA survivor, 20 years old or younger)

Advocacy Champion Local (must be local to Durham, NC.)

Nominee #5 Full Name

0/50

Nominee #5 Email Address

0/50

Nominee #5 Phone Number

0/50

Specific details of action by Nominee #5 (i.e., research that helps advance our cause, organized 3 community heart screening events, placed 50 AEDs, trained others in CPR & AED use, etc.)

0/500

Upload photos to support nominee #5 Upload Photos HERE

Submit Survey