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Nomination Forms

Helen Krieger Outstanding Healthcare Provider Nomination

Who is Eligible:

Any certified or licensed LPS nurse is eligible to receive this award. The Helen Krieger Award may be received more than once during tenure with LPS.

Criteria:

Selection of the recipient for the award will be based on a significant contribution to students’ and our family’s lives by meeting healthcare needs or positively impacting healthcare education in his or her school, the entire school system, or the community at large.

First Name
Last Name

First Name
Last Name
Phone Number
ext Extension
Country
Address Line 1
City
State
Postal Code

Describe how this person has made a significant contribution to the lives of students and families by meeting healthcare needs or positively impacting healthcare education in his or her school, the entire school system, or the community at large. Please be as specific as possible concerning the outstanding contribution of your nominee.

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The Numbers

  • Schools Served

    60

  • Students Empowered

    42,297

  • Teachers & Staff Supported

    6,660

  • Funds Raised

    $1.56M

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