2025 Nomination Form

Please Review Before Completing Form

We are thrilled that you have decided to offer a nomination for the Champions for Better Health Awards. Our organization is proud to recognize individuals and organizations that are helping people and communities reach their highest potential for health. Please provide an insightful, detailed, and clear description of the nominee’s qualifications and positive impacts toward advancing health in our community.

Our Champions for Better Health Awards Selection Committee will review all nominations and bestow awards to nominees within one or more categories: Social Determinants of Health (SDOH) Awards, Heather Swartz Volunteer Award, Nonprofit Professional Award, Community Health Champion Award, and Lived Experience Award. You may provide a suggested award type in your nomination.

Note: Social Determinants of Health (SDOH) are the structural factors and conditions that affect everyone’s health. Social determinants of health include socioeconomic status, the environment, neighborhood safety, social support networks, and access to resources to meet daily needs, such as safe housing and healthy foods.

Visit our Champions for Better Health page for recognition categories and requirements to be nominated.

Click here for a paper version of this form.

Applications are due by Friday, August 29, 2025

For questions about the Champions for Better Health Awards or for a paper copy of this nomination form, please contact:

Antonia Price, Director of Communications and Development (717-960-9009  x2; [email protected]).