Eli Rudin Second Half Hero Award Nomination

The nomination form has been fixed and is now fully functional! We've extended the submission deadline to Monday, February 11!

Fill in the form below and click at the bottom to submit your nomination for Lifespan's Eli Rudin Second Half Hero Award. Please be aware that the more specific you are in the narrative, the better your nominee's chances!

I am nominating the following person for
Lifespan's Eli Rudin Second Half Hero Award.

nominee*
nominee's address*
city*
state*
 zip code*
nominee's phone*

.Does the nominee know that you are submitting?

.
my name*
my phone*
my address*
city*
state* zip code*
my email*
.
.

Tell us how the nominee “takes on” the second half of life.

Please be specific with regard to activities and attitude. The more concrete you can be the better!

Why do you personally consider this person a role model for successful aging?

The more you can tell us...the better we can judge your nomination!

Anything else you’d like to add that will help us make a decision?

Thank you!

The Eli Rudin Second Half Hero Award is underwritten by MedAmerica Insurance Co. of New York, an Excellus Company.

The submission deadline is Monday, February 11, 2008.

Please note that we will not accept nominations without completion of this form. You may submit other materials in addition to the form by mailing to Lifespan, 1900 S Clinton Avenue, Rochester, NY 14618. On-line submission of the nomination form is preferable to a handwritten form.