Natalie J. Smith, MD
Immunization Champion Award
California Immunization Coalition Immunization Champion award was
established in 2003 in memory of Natalie Joy Smith, M.D, M.P.H. (19622003). Dr. Smith was Deputy Director of the National Immunization
Program, Centers for Disease Control and Prevention; former Chief of the
Immunization Branch, California Department of Health Services (19942002); and a founder of the California Coalition for Childhood
Immunization.
This annual award, first presented in 2004, memorializes Dr. Smith’s
exceptional leadership and her dedication to eliminating vaccine
preventable diseases. The award is presented to an individual, group, or
organization in California that has made an outstanding contribution in
the immunization arena.
Criteria for Nomination
Nominees
leadership






will have made a significant contribution to immunization at the state or local level. Their
or other activities may be in a variety of contexts, including, but not limited to, the following:
Development of partnerships and coalitions
Policy and legislative advocacy
Innovative programs to reach disadvantaged populations
Philanthropic support of state or local activities
Leadership in public health
Advances in service delivery in the context of preventive health and primary care
The CIC Board of Directors designates a committee to review nominations and select the awardees(s).
Nomination Form
Name of Nominee (s) _______________________________________________________________
Title ______________________________ Organization ___________________________________
Address __________________________________________________________________________
E-Mail Address______________________ Telephone ________________
Name of person submitting nomination (Required) ________________________________________
E-Mail Address______________________ Telephone ________________
Natalie J. Smith, MD
Immunization Champion Award
Please describe how the nominee (s) has contributed to the field of immunization and why the
nominee(s) meets the criteria for this award. Please limit comments to no more than 500 words.