Theodore E. Smith Award

The Theodore E. Smith award recognizes the contributions of individuals who have made significant contributions in the education and/or promotion of the importance of organ, eye and tissue donation to the minority community. Please submit this application by October 17^th.

Your Information

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Last Name

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Nominee Information

First Name

Last Name

City

State / Province / Region

Phone

Email

In 200 words or less, explain how your nominee has made a significant contribution to furthering LifeCenter’s mission and vision in honor of their loved one.

In 200 words or less, give a brief biography of your nominee.

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