The American Heart Association is soliciting nominations for its Annual Start! Lifestyle Change Awards. The association wants to recognize individuals who have made positive changes to improve their quality of life and health. No change is too small, and every accomplishment is significant! Nominations for the Lifestyle Change Award can be submitted by friends, co-workers or relatives, and individuals can nominate themselves.
Winners will be chosen by a volunteer committee and presented at the upcoming Northeast Indiana Start! Heart Walk being held at 8:30 a.m. on Sept. 18 at Parkview Field.
To submit a nomination, complete the form below and email to firstname.lastname@example.org or fax to (317) 873-3070 by Sept. 14. For more information, call (800) 229-1503 or visit www.fortwayneheartwalk.org.
The Start! Heart Walk is the American Heart Association’s premier fundraiser, gives people an opportunity to improve their health through walking while helping fund the fight against heart disease and stroke. Start! encourages corporations and individuals to promote physical fitness and help break down the obstacles that keep Americans from being physically active. The movement focuses on walking as an activity because it’s accessible, free and has the lowest dropout rate of any type of exercise.
Start! is sponsored nationally by Subway and locally by PHP and Parkview Health.
START! LIFESTYLE CHANGE NOMINATION FORM:
How may we contact the nominee if he or she is selected?:
Relationship to Nominee:
Start! Lifestyle Change award
In what way has this person improved his or her lifestyle? Please describe the person’s accomplishments in the applicable areas below.
❑ Increased physical activity:
❑ Healthier eating habits:
❑ Weight loss:
❑ Managing heart-related risk factors such as high blood pressure and high cholesterol:
Personal Story — Why do you think this person deserves a Start! Lifestyle Change Award? Did he or she lose weight? Start exercising more? Improve his or her blood pressure? Please include information regarding his or her success.
Submit to email@example.com or fax to (317) 873-3070 by Sept. 14, 2010.