Azria Health Heroes Spotlight Submission Form This form allows facility administrators to submit spotlights on their Azria Health Heroes to be posted on social media and/or added to our gallery. Submittor DetailsSubmittor Name*Enter your name.Submittor Email* Please enter your Azria email so that we may contact you regarding this submission if need be.Azria Health Hero Spotlight DetailsFacility*Select a FacilityAzria Health RegionalAzria Health AshlandAzria Health Blue HillAzria Health BroadwellAzria Health Central CityAzria Health ClarindaAzria Health GretnaAzria Health MidtownAzria Health MontclairAzria Health OlatheAzria Health Park PlaceAzria Health Prairie RidgeAzria Health SutherlandAzria Health WaverlyAzria Health WintersetAzria Health WoodhavenPlease select facility that the Azria Health Hero belongs to. (Please Note: You can start typing a facility name in the dropdown if your browser supports it).Full Name of Azria Health Hero*Please enter the full name of the Azria Health Hero.Job Title of Azria Health Hero*Please enter the job title of the Azria Health Hero.When did the Azria Health Hero start working for Azria Health?*Please enter the month and year that the Azria Health Hero started working for Azria Health. (Please Note: If start month/year is not known, please indicate a rough estimate of years with the company).Bio of Azria Health Hero*Please enter a short bio to showcase the Azria Health Hero.Upload Employee Image(s)* Drop files here or Accepted file types: jpg, gif, png, jpeg. Upload image(s) of the Azria Health Hero.Facility Administrator DetailsFacility Administrator's Name*Please enter name of the facility administrator.Quote from Facility Administrator*Please enter a quote from the facility administrator on why they chose this Azria Health Hero, and why this employee should be selected.NameThis field is for validation purposes and should be left unchanged.