The mission of A Lane of Hope is to honor the memory of Sherry Gerber, who dedicated her career to a life of service by working 45 years in the healthcare industry.

The foundation seeks to honor, uplift and support the unsung heroes of healthcare and recognize their vital contributions by offering assistance that will make a lasting impact on the life of the recipient(s).

Name of Nominator:

First Name

Last Name

Nominator Email:

Nominator Phone:

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Name of Nominee:

First Name

Last Name

Nominee Mailing Address:

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Nominee Email Address:

Nominee Phone:

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Nominator Relationship to Nominee (Family, Employer, Co-Worker etc.)

Please use the space below to describe the need for assistance and amount needed if applicable

Location

Contact