HealthLeaders Media '09: Submit Your Entry

Submit Your Entry

Step 1. Entry Guidelines
Please take a moment to review our official rules for entry. This will answer questions about our categories and eligibility. If you have any questions please email us at teamwork@healthleadersmedia.com.

Step 2. Tell us Your Story
Download our entry form and tell us in 2,000 words or less what makes your healthcare organization’s leadership team the best.

Step. 3 Submit your Entry
Come back to our entry page by April 30, 2010 to submit your entry. You will receive e-mail conformation that your entry has been received.

Your organization's info

Organization Category(required)
Name of Healthcare Organization(required)
Address(required)
City/Province(required)
State (required for US only)(required)
Country(required)
Zip Code(required)
Web Site Address(required)
Primary Telephone Number(required)
Name of Chief Executive(required)

Your personal info

Name of Person Submitting Entry(required)
Organization(required)
Position(required)
Address(required)
City/Province(required)
State (required for US only)(required)
Country(required)
Zip Code(required)
E-mail Address(valid email required)
Phone Number(required)
Fax Number(required)

Upload your Entry

Word Document (.doc or .docx only!)(required)

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