Bill Aston Award Nomination Form

Complete the nomination form below. attach a one-page executive summary, a program description and any other supporting statements or documents for a maximum of 15 pages. Please ensure that all selection criteria are addressed in your entry. All fields are required.

Submit form by 5 p.m., Thursday, Sept. 30, 2021. Nominations received after this date will not be considered.


Attach supplemental documents below. Please include a photograph of the nominated team or hospital, or a photograph that represents/illustrates the program.