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2024 Annual Award Nominations
Annual Award Nominations - Due February 20, 2024
BIAC will be recognizing outstanding individuals during the Annual Conference on March 15, 2024. All nominations will be reviewed and winners selected by the BIAC Governance Committee.
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*
1.
Award Name
(Required.)
Sarah Raskin Advocacy Award
Catherine Bontke Memorial Award
Brain Injury Service Award
Community Service Award
Education & Prevention Award
Media Award
Partnership Award
Public Policy Award
Volunteer of the Year
Ayers Distinguished Service Award
President's Award
*
2.
Individual Submitting the Nomination
(Required.)
Full Name
Address
Phone #
Email
*
3.
Nominee Information
(Required.)
Full Name
Address
Phone #
Email
*
4.
Full description for why the individual or group is being nominated for this award:
(Required.)
*
5.
Brief bio for the nominee (
required
- this information will be listed in the BIAC Annual Conference Program Book):
(Required.)
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