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This document is a nomination form for the George Longenbaugh, MD Award, recognizing a physician's leadership and dedication to the Alaska EMS system.
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How to fill out Governor’s Alaska Council on Emergency Medical Services - George Longenbaugh, MD Award Nomination Form
01
Visit the official website of the Governor’s Alaska Council on Emergency Medical Services.
02
Download the George Longenbaugh, MD Award Nomination Form.
03
Read the instructions provided with the form carefully.
04
Fill in the nominee's full name and contact information in the designated sections.
05
Provide a detailed description of the nominee’s contributions to emergency medical services.
06
Include any relevant supporting documents or letters of recommendation.
07
Double-check all entries for accuracy and completeness.
08
Sign the form and include your contact information as the nominator.
09
Submit the completed nomination form by the specified deadline.
Who needs Governor’s Alaska Council on Emergency Medical Services - George Longenbaugh, MD Award Nomination Form?
01
Individuals or organizations wishing to recognize outstanding contributions in emergency medical services in Alaska.
02
EMS personnel, including paramedics, EMTs, and other healthcare professionals.
03
Community members who have benefited from exceptional emergency medical services.
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What is Governor’s Alaska Council on Emergency Medical Services - George Longenbaugh, MD Award Nomination Form?
The Governor’s Alaska Council on Emergency Medical Services - George Longenbaugh, MD Award Nomination Form is a document used to nominate individuals for an award recognizing excellence in emergency medical services in Alaska.
Who is required to file Governor’s Alaska Council on Emergency Medical Services - George Longenbaugh, MD Award Nomination Form?
Individuals or organizations wishing to nominate a person for the George Longenbaugh, MD Award are required to file the nomination form.
How to fill out Governor’s Alaska Council on Emergency Medical Services - George Longenbaugh, MD Award Nomination Form?
To fill out the nomination form, provide the nominee's details, including their qualifications and achievements in emergency medical services. Ensure all sections are completed accurately and submit it as per the provided instructions.
What is the purpose of Governor’s Alaska Council on Emergency Medical Services - George Longenbaugh, MD Award Nomination Form?
The purpose of the nomination form is to recognize and honor individuals who have made significant contributions to the field of emergency medical services in Alaska.
What information must be reported on Governor’s Alaska Council on Emergency Medical Services - George Longenbaugh, MD Award Nomination Form?
The form must report the nominee's name, contact information, a description of their contributions to emergency medical services, and any supporting documentation that highlights their achievements.
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