{"id":9153,"date":"2016-04-09T04:57:17","date_gmt":"2016-04-09T08:57:17","guid":{"rendered":"http:\/\/www.hwapps.org\/ahec\/?page_id=9153"},"modified":"2016-04-13T06:55:46","modified_gmt":"2016-04-13T10:55:46","slug":"awards-nomination","status":"publish","type":"page","link":"https:\/\/www.hwapps.org\/ahec\/ny\/nysarh\/conference\/awards-nomination\/","title":{"rendered":"Award Nominations"},"content":{"rendered":"<div id=\"pl-9153\"  class=\"panel-layout\" ><div id=\"pg-9153-0\"  class=\"panel-grid panel-has-style\" ><div class=\"siteorigin-panels-stretch panel-row-style panel-row-style-for-9153-0\" data-stretch-type=\"full\" ><div id=\"pgc-9153-0-0\"  class=\"panel-grid-cell\" ><div id=\"panel-9153-0-0-0\" class=\"so-panel widget widget_sow-image panel-first-child\" data-index=\"0\" ><div class=\"panel-widget-style panel-widget-style-for-9153-0-0-0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-image so-widget-sow-image-default-dbf295114b96-9153\"\n\t\t\t\n\t\t>\n<div class=\"sow-image-container\">\n\t\t<img \n\tsrc=\"https:\/\/www.hwapps.org\/ahec\/wp-content\/uploads\/sites\/5\/2016\/04\/2016-NYSARH-Conference-Banner.jpg\" width=\"1000\" height=\"340\" srcset=\"https:\/\/www.hwapps.org\/ahec\/wp-content\/uploads\/sites\/5\/2016\/04\/2016-NYSARH-Conference-Banner.jpg 1000w, https:\/\/www.hwapps.org\/ahec\/wp-content\/uploads\/sites\/5\/2016\/04\/2016-NYSARH-Conference-Banner-300x102.jpg 300w, https:\/\/www.hwapps.org\/ahec\/wp-content\/uploads\/sites\/5\/2016\/04\/2016-NYSARH-Conference-Banner-768x261.jpg 768w\" sizes=\"(max-width: 1000px) 100vw, 1000px\" alt=\"\" \t\tclass=\"so-widget-image\"\/>\n\t<\/div>\n\n<\/div><\/div><\/div><div id=\"panel-9153-0-0-1\" class=\"so-panel widget widget_siteorigin-panels-builder panel-last-child\" data-index=\"1\" ><div class=\"panel-widget-style panel-widget-style-for-9153-0-0-1\" ><div id=\"pl-w570e25b310ee1\"  class=\"panel-layout\" ><div id=\"pg-w570e25b310ee1-0\"  class=\"panel-grid panel-has-style\" ><div class=\"panel-row-style panel-row-style-for-w570e25b310ee1-0\" ><div id=\"pgc-w570e25b310ee1-0-0\"  class=\"panel-grid-cell\" ><div id=\"panel-w570e25b310ee1-0-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"0\" ><div class=\"panel-widget-style panel-widget-style-for-w570e25b310ee1-0-0-0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h1 style=\"text-align: center;\">\u00a0Annual Awards Nomination Application<\/h1>\n<hr \/>\n<p>\u00a0<\/p>\n<p style=\"text-align: left;\">Please use this nomination form to recognize individuals and organizations that have made a significant contribution to rural health. \u00a0<\/p>\n<p style=\"text-align: left;\">Fill out a separate nomination form for each category or entry.<\/p>\n<p style=\"text-align: left;\">Please visit our website <a href=\"http:\/\/www.nysarh.org\/#!copy-of-resources\/c1y23\" target=\"_blank\">here<\/a>\u00a0for award criteria.<\/p>\n<p style=\"text-align: left;\">\u00a0<\/p>\n<p style=\"text-align: center;\"><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 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value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div>\n<\/li>\n<li id=\"field_26_4\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_26_4'>Primary Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>\n<div class='ginput_container ginput_container_email'>\n                            <input name='input_4' id='input_26_4' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div>\n<\/li>\n<li id=\"field_26_72\" class=\"gfield gfield--type-phone field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_26_72'>Phone Number<\/label>\n<div class='ginput_container ginput_container_phone'><input name='input_72' id='input_26_72' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div>\n<\/li>\n<li id=\"field_26_70\" class=\"gfield gfield--type-select populate_po field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_26_70'>Organization<\/label>\n<div class='ginput_container ginput_container_select'><select name='input_70' id='input_26_70' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select a PO<\/option><option value='9' >NAO<\/option><option value='2571' >--Alabama<\/option><option value='2639' >--Alaska<\/option><option value='6031' >----Interior AHEC<\/option><option value='2669' >--Arizona<\/option><option value='2685' >--Arkansas<\/option><option value='2761' >--California<\/option><option value='2820' >--Colorado<\/option><option value='2885' >--Connecticut<\/option><option value='2894' >--DC<\/option><option value='2896' >--Delaware<\/option><option value='2900' >--Florida<\/option><option value='2968' >--Georgia<\/option><option value='3128' >--Hawaii<\/option><option value='3134' >--Idaho<\/option><option value='3179' >--Illinois<\/option><option value='3282' >--Indiana<\/option><option value='3375' >--Iowa<\/option><option value='3475' >--Kansas<\/option><option value='3581' >--Kentucky<\/option><option value='3702' >--Louisiana<\/option><option value='3767' >--Maine<\/option><option value='3784' >--Maryland<\/option><option value='3809' >--Massachusetts<\/option><option value='5996' >----Berkshire AHEC<\/option><option value='3824' >--Michigan<\/option><option value='3908' >--Minnesota<\/option><option value='3996' >--Mississippi<\/option><option value='4079' >--Missouri<\/option><option value='4195' >--Montana<\/option><option value='4252' 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