Skip to content
Baxter Award Nomination Form 2026
1.
What is your Name and Institution?
2.
Who would you like to nominate for the Baxter Award?
3.
Factors for nominating should be specific to events, activities, or actions that go beyond the scope of the nominee’s normal duties and address the prevention of substance use, suicide, sexual or interpersonal violence, and related prevention issues.
Please describe the prevention work that this person is engaged in and how it has impacted their community.
4.
Please describe how this person has gone above and beyond their normal duties to address prevention efforts.
5.
Please describe how this person is fostering cross-campus collaboration and relationships at the local, state, and/or national level to promote prevention efforts.
6.
Please provide a phone number and/or email where we can connect with you in case we have additional questions.
7.
Any other information you would like to provide on this candidate's nomination?
Current Progress,
0 of 7 answered
