Skip to content
2026 CCB Annual Awards Nomination Form (no self-nominations will be accepted)
1.
Which awards are you nominating a professional for?
David Powell Lifetime of Service
Joseph Sullivan Young Professionals
Kathleen Whelan-Ulm Women's Leadership
2.
Nominee's Name
Nominee's Name
Nominee's Employer
Nominee's Email
Nominee's Phone Number
3.
Is Nominee CCB Certified?
(not required)
Yes
No
Don't Know
4.
Please explain why you feel that nominee is worthy of this award (
do not include nominee's recovery status, this is not factored into the decision of the committee
)
5.
Your Information
Your name
Your Employer
Your Email
6.
Are there additional factors the committee should be aware of? If so, please comment below
(as above, no statement on recovery status of nominee).
Current Progress,
0 of 6 answered
