ANCBH: Association of North Carolina Boards of Health
ANCBH: Association of North Carolina Boards of Health

Phone: (704) 300-1365
(ans. mach.)

General E-mail: [email protected]

Surface Mail and Shipping:
Association of North Carolina Boards of Health
4208 Galax Drive
Raleigh, NC 27612-3714

Award Nomination Form

For every nomination:

  • Please provide specific examples for each of the five criteria in your nominations
  • Please attach up to two double-spaced typed pages describing the justification for the awards
  • You may also enclose up to two letters of endorsement
  • Send completed forms and supporting documents to: Robert Blackburn, Box 974, Boiling Springs, NC  28017
    Email: [email protected]
    FAX: Please call 919.403.8182 before faxing any material
    For more information, please contact Robert Blackburn directly at 704.434.7926

If you would like to nominate more than one person or group for awards, please copy the form in this issue and complete one form for each nomination.

The deadline for 2014 nominations will be January 10, 2014.

View/Download Award Nomination Form (PDF)