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Please submit your Nomination for the Boresha Afya Star Awards Kenya below

Nominate public healthcare workers, doctors, nurses, receptionists, ambulance drivers, even your most friendly and helpful Askari who have gone above and beyond in service to the public these last few months.
Let’s Recognise and promote them!

Boresha Afya Star Awards - Nominations
* Required
Nominees Full Name *
This is the full name of the personnel who took good care of you, and made you feel important and valuable. ( E.g. Dr. Okumu Wambui Kanini, Mwangi the Askari, Sister Wamuyu Kipkorir, Esther the receptionist, etc)
Your answer
Occupation of the nominee *
What is your nominees Job Description at the Public Health Facility?
Registration Number of the Nominee - (If applicable)
(You may request your nominee to provide you with their registration number – we are sure they will be all to willing to provide it if they are being nominated!)
Your answer
Name of Institution where Nominee works *
(E.g. Tigoni Hospital, Naivasha Clinic, Mwembe Tayari Dispensary, etc?)
Your answer
County of Institution where Nominee works *
(E.g. Kisumu, Makueni, Wajir, , etc?)
Choose
Baringo
Bomet
Bungoma
Busia
Elgeyo/Marakwet
 Embu 
 Garissa
Option 8
Homa Bay
 Isiolo 
Kajiado
Kakamega
Kericho
Kiambu
Kilifi
Kirinyaga
Kisii
Kisumu
Kitui
Kwale 
 Laikipia
Lamu 
Machakos
 Makueni
Mandera
Marsabit
Meru
 Migori
Mombasa
Murang’a
Nairobi
Nakuru
Nandi
Narok
Nyamira
Nyandarua
Nyeri 
Samburu 
Siaya 
 Taita Taveta 
Tana River 
Tharaka Nithi
Trans Nzoia
 Turkana
Uasin Gishu 
Vihiga
Wajir
West Pokot
Reason for nominating this individual* *
This is very important! Why do you think this individual needs to be recognised?
Your answer
Your full name *
(E.g. Esther Bosibori Kimeu)
Your answer
Your County *
(E.g. Kisumu, Makueni, Wajir, , etc?)
Your answer
Your Phone number
With your permission, we may like to get some more in depth information about your nomination through a phone call from our team – if so we promise not to share or use your number other than for BASA purposes!
Your answer
What do you think about Kenya’s Public Health Sector?
Your answer
What do you think about Boresha Afya Star Awards?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service
 
 

Boresha Afya Star Awards - Nominations
* Required
Nominees Full Name *
This is the full name of the personnel who took good care of you, and made you feel important and valuable. ( E.g. Dr. Okumu Wambui Kanini, Mwangi the Askari, Sister Wamuyu Kipkorir, Esther the receptionist, etc)
Your answer
Occupation of the nominee *
What is your nominees Job Description at the Public Health Facility?
Registration Number of the Nominee - (If applicable)
(You may request your nominee to provide you with their registration number – we are sure they will be all to willing to provide it if they are being nominated!)
Your answer
Name of Institution where Nominee works *
(E.g. Tigoni Hospital, Naivasha Clinic, Mwembe Tayari Dispensary, etc?)
Your answer
County of Institution where Nominee works *
(E.g. Kisumu, Makueni, Wajir, , etc?)
Choose
Baringo
Bomet
Bungoma
Busia
Elgeyo/Marakwet
 Embu 
 Garissa
Option 8
Homa Bay
 Isiolo 
Kajiado
Kakamega
Kericho
Kiambu
Kilifi
Kirinyaga
Kisii
Kisumu
Kitui
Kwale 
 Laikipia
Lamu 
Machakos
 Makueni
Mandera
Marsabit
Meru
 Migori
Mombasa
Murang’a
Nairobi
Nakuru
Nandi
Narok
Nyamira
Nyandarua
Nyeri 
Samburu 
Siaya 
 Taita Taveta 
Tana River 
Tharaka Nithi
Trans Nzoia
 Turkana
Uasin Gishu 
Vihiga
Wajir
West Pokot
Reason for nominating this individual* *
This is very important! Why do you think this individual needs to be recognised?
Your answer
Your full name *
(E.g. Esther Bosibori Kimeu)
Your answer
Your County *
(E.g. Kisumu, Makueni, Wajir, , etc?)
Your answer
Your Phone number
With your permission, we may like to get some more in depth information about your nomination through a phone call from our team – if so we promise not to share or use your number other than for BASA purposes!
Your answer
What do you think about Kenya’s Public Health Sector?
Your answer
What do you think about Boresha Afya Star Awards?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service
 
 

Or you can email Alice at Morrismosesfoundation.org

Email

alice@morrismosesfoundation.org