Welcome to the nomination process for the CHADD Hall of Fame Award!
This prestigious award recognizes individuals who have demonstrated outstanding service and contributions in support of CHADD’s mission. Our goal is to honor those whose work in research, practice, and service has made a significant impact in fields such as public policy, medicine, media, legal, coaching, community engagement, psychology, and education.

Please complete this form in its entirety for consideration. Thanks!

Deadline:
Complete the online nomination form by May 30, 2024.

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* 1. Nominee Information

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* 2. Nominator Information

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* 3.
Eligibility Criteria
Please confirm the following (Yes/No/Unknown):

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* 4. Fields of Service
Please select the field(s) of service that best describe the nominee's contributions:

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* 5. Description of Contributions: Provide a detailed description of the nominee’s contributions. Include specific projects, initiatives, or research, highlighting their significance and impact.

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* 6. Impact of Contributions: Describe the impact of the nominee’s contributions on CHADD’s mission, their field, and/or the broader community. Include any relevant outcomes or recognitions.

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* 7. Recognition and Awards (Optional): List any awards or recognitions the nominee has received for their contributions.

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* 8. Supporting Documentation: Please attach any documents, publications, or links that support the nomination. You may also list the contact information of two references who can speak to the nominee's qualifications and contributions.

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Submission

Please review your nomination before submitting. Once submitted, the nomination cannot be edited. If you have any additional questions, comments or concerns regarding the nomination, please reach out to customer_service@chadd.org.

Thank you for taking the time to nominate an individual for the CHADD Hall of Fame Award. Your effort helps us honor those who have made significant contributions to our mission.

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