Women of Health Nomination
Name:
Email:
Age
Phone
City
Country
Zip Code
Profession / Specialty
Years of Experience
Do you work for an organization or have your own business?
Organization
Own Business
Both
Organization / Business Name
Your Role (Select one):
Founder / Co-Founder
Medical Director
Practitioner / Specialist
Educator / Professor
Other
Other:
Organization Website (Optional)
Social media link 1
Social media link 2
Describe your professional expertise and specialty.
How does your work positively impact your patients’ health and quality of life?
What makes your approach to health care ethical, human and patient-centered?
Describe a challenge you have faced in your professional journey and how you overcame it.
What does being recognized as a Women of Health by Global Integral Beauty mean to you?
COMMUNITY IMPACT:
LEADERSHIP & PURPOSE:
If selected, how would this recognition support your professional mission and growth?
How did you hear about Women of Global Integral Beauty?
Social Media
Global Integral Beauty Community
Email Campaign
Referral
Other
Would you like to receive updates, opportunities and publications from Global Integral Beauty?
Yes
No
Thank you for being part of a community that believes in purpose, ethics and women supporting women.💜
SUBMIT
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