This award honors a group of people making a commitment to raising stroke awareness on a local or national level. 

Contact information for the person completing the nomination:

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* 1. Contact information for the person completing the nomination:

Contact information for the group you are nominating:

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* 2. Contact information for the group you are nominating:

Please select which of the following best describes the nominee:

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* 3. Please select which of the following best describes the nominee:

Why do you believe a RAISE Award should be given to the group you are nominating? (500 characters or less)

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* 4. Why do you believe a RAISE Award should be given to the group you are nominating? (500 characters or less)

Please describe how this group raises stroke awareness on a local or national level. (2,000 characters or less)

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* 5. Please describe how this group raises stroke awareness on a local or national level. (2,000 characters or less)

DISCLAIMER: By clicking submit and participating in the National Stroke Associations RAISE Awards you unconditionally and irrevocably assign all copyrights and other rights in the submission to the National Stroke Association. You acknowledge that the National Stroke Association, at its sole discretion, has the right to use any photograph, video, or story submitted by you to print, publish, broadcast, and use in any manner the National Stroke Association deems appropriate worldwide, in any media now known or hereafter developed, including without limitation, television, in books, in newspapers, and magazines, on the internet, and may be for advertising promotion, the use of trade, and/or other commercial purposes. By submitting a photograph, video and/or story, you (and any other individual depicted in a photograph, video or story) consent to such publication or any other use. As a condition of submitting your photograph, video or story, you (and any other individual depicted in a photograph or video) unconditionally and irrevocably waive all claims to compensation for use of the photograph, and or/any rights with respect to such use you may have under copyright law, the right to publicity, the right to privacy, the law of defamation, and any other common law or statutory claims under the laws of jurisdiction. You represent that you have been given the authority by each individual depicted or represented in a photograph or story to bind such individual to these release terms. Participants further release the National Stroke Association from any and all liability, claims or damages arising out of or relating the participant's submission. All photographs and videos submitted become the property of the National Stroke Association and will not be returned to the entrant.

Not yet 18? If you'd like to participate, you may still submit your story, video, or photograph to us. You will need to include a letter in which your parent or legal guardian gives us formal written consent to use them. Send to:

Aurora Quigley
Sr. Manager, Awareness and Professional Programs
National Stroke Association
9707 E. Easter Lane, Suite B
Centennial, CO 80112
Fax: (303) 649-1328
raise@stroke.org
I have read and agree to the above disclaimer.

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* 6. I have read and agree to the above disclaimer.

If you would like to provide any supplemental material, such as photos or video, for this nomination, please email it to raise@stroke.org and indicate the nominee's name in the subject line.

Please note that links (to webpages and/or videos) included in nominations will be able to be reviewed by judges, but additional supplemental material may not.

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