All Nominations are due by Wednesday, November 5 at 5 pm Eastern

Nominations are now open for the CPD Forty Under 40 Award. This esteemed recognition program is aimed at showcasing the outstanding contributions of the next generation in our industry. This initiative not only celebrates the remarkable work of young professionals but also serves as a catalyst to engage and inspire new, vibrant members within the Alliance community.

Question Title

* 1. Nominee name (Please note: only one name per nomination is permitted):

Question Title

* 2. Nominee age (as of December 31, 2025):

Question Title

* 3. Nominee's preferred pronouns (select all that apply):

Question Title

* 4. Nominee's preferred phone number:

Question Title

* 5. Is this a cell phone?

Question Title

* 6. Nominee's preferred email address:

Question Title

* 7. Which member section is the closest representation of the nominee?

Question Title

* 8. Nominee's primary work setting information:

Question Title

* 9. How long has this nominee been a Healthcare Continuing Education Professional?

Question Title

* 10. Which healthcare professional(s) does the nominee provide or support education for? (check all that apply)

Question Title

* 11. Information about the nominator:

Question Title

* 12. Nominee Accomplishment Statement

Please upload an accomplishment statement from the nominee that explains why they should be considered for this award. This statement is intended to capture highlights from the nominee's career and does not need to be limited to their achievements in their current employment or role. Please be as specific as possible, stating quantifiable information as applicable. The following are topics to cover in the statement to elicit pertinent information about the nominee's continuing education accomplishments:

  • Key achievements, presentations, and publications - Highlight the benefits the nominee delivered to healthcare and/or healthcare CPD through their achievements or through their presentations and publications. Use quantifiable results where possible and be specific.
  • Interprofessional education - Did the nominee address the educational needs of the healthcare team (as opposed to those of a specific profession) as a regular practice? If so, explain.
  • Diversity, Equity, and Inclusion - Did the nominee make an impact using continuing education to address social determinants of health or decrease implicit bias in healthcare? And/or did the nominee meaningfully address DEI within their own organization? If so, explain.
  • Innovation - Did the nominee create or present innovative educational strategies or methods? If so, explain.
  • Obstacles - What challenges or obstacles has the nominee overcome in their current position or recent past?

PDF, DOC, DOCX file types only.
Choose File
Level of Expertise
Please answer the following questions to provide information on the nominee's level of expertise in their respective field.

These are open-ended questions intended to give the reviewers an overview of the nominee’s level of expertise.
  • A score is given for the overall section, not individual responses. There is no requirement to answer every question.
  • Only respond to those that apply to this nominee. If a question is not applicable, please enter "n/a"
  • Answers may be in paragraph or list format
  • Please do not use the same response for multiple questions
  • When completing this section, please be as specific as possible

Question Title

* 13. Education credentials
Please list the name of educational institutions the nominee has attended, along with the degree/ diploma/certificate, any distinctions, and year of graduation.

Question Title

* 14. Volunteer Experience
Please list the name of any organizations for which the nominee has done volunteer service or work and indicate the nature of that work or service.

Question Title

* 15. Awards and distinctions
Please list any awards the nominee may have received, including CHCP, along with the year the award was given.

Question Title

* 16. Recognition
Please list any third-party recognition of expertise or leadership in the nominee's respective field.

Question Title

* 17. Other
Please provide any other items or points of interest that highlight the nominee's level of expertise in their respective field.

Question Title

* 18. Please attach the nominee’s curriculum vitae or resume.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

Question Title

* 19. Please upload a headshot.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

T