* 1. Please enter information about the Parent of a child with hearing loss you are nominating:

* 2. Please tell us a little more about yourself:

* 3. Please complete all applicable areas below regarding your nominee:

* 4. How long, to the best of your knowledge, has the nominee been serving others?

* 5. How long, to the best of your knowledge, has the nominee been a parent of a child with hearing loss?

* 6. How long have you know the nominee?

Nominations will stay on file for two years for future consideration.

After we receive the nomination form, both the nominator and nominee will receive notification from IL Hands & Voices, Guide By Your Side.

All Nominations are due by 2/19/18. Online voting will be open 2/26-3/26. The honoree will be notified before 3/30. The award will be presented to the honoree the morning of 4/15/18 during the Mom's Night Inn event at the Hyatt Regency in Lisle, IL. 

More information about Mom's Night Inn can be found at our IL Hands & Voices website.
Thank you for your nomination!  You are welcome to join us on 4/15/18 to view the presentation of the award to the selected nominee.  Following the presentation there will be a panel of individuals with hearing loss that will be sharing their experiences.

If you have any questions you can contact Carrie, Coordinator for IL Guide By Your Side, at 224.343.1873 or email her at ilhvgbys@gmail.com.