2021 ADEC Award Nomination Form Thank you for your interest in submitting a nomination for a 2021 ADEC Award.Please complete the information below to submit your nomination to the Awards & Recognition Committee. If you would like to nominate more than one individual for any award category, please submit one entry per individual.Additional details can be found on ADEC's website regarding: Individual award description and criteria Overall awards process Awards timeline Questions? Please contact ADEC headquarters via email at adec@adec.org. OK Question Title * 1. Your First and Last Name OK Question Title * 2. Your Email Address OK Question Title * 3. I would like to nominate the following individual: [First and Last Name] OK Question Title * 4. Nominee's Contact Information Email Address Phone Number OK Question Title * 5. I would like to nominate the individual listed above for the following award: Academic Educator Award Community Educator Award Clinical Practice Award Research Recognition Award ADEC Service Award Lifetime Achievement Award Edie Stark-Shirley Scott Early Achievement Award OK Question Title * 6. Share your reasoning for nominating the above individual and why they should be considered for the specified award. You may copy text from another document into the text field below. OK DONE