Heart of a Hero Awardee Survey

Congratulations on being selected as a Heart of a Hero awardee! We are looking forward to honoring you at our awards gala on April 7, 2022 at the Hilton Rialto. Please confirm acceptance of your award by completing this survey. If you have any questions, please email Diana@brevardheartfoundation.org. Thank you!
  • Enter the name you'd like used in press releases and other award-related instances
  • We'd like to share information regarding your nomination and selection for the award, as well as an invitation to the gala, with your supervisor
  • Drop files here or
    Accepted file types: jpg, Max. file size: 50 MB, Max. files: 4.