2025 Alicia Cignatta Spirit of Independence Award

The Alicia Cignatta Spirit of Independence Award

Online Nomination Form
The Alicia Cignatta Spirit of Independence Awards

is dedicated to the memory of BIAMD's most dedicated and loving staff member who lost her battle with brain cancer in December 2018.

Each year, these awards are presented in recognition of individuals who have made contributions to improving the quality of life for individuals with brain injury.

Awards will be presented at the BIAMD Annual Conference General Session on Thursday, April 3, 2025.

Nominations should be received by no later than March 4, 2025 to allow us adequate time to select the award recipient and make arrangements for them to receive the award.
Nomination Category

Individual with a Brain InjuryFamily Member / Partner / FriendHealthcare Professional - Working in the Brain Injury CommunitySupporter / Advocate - Making Contributions in an Official Capacity
Name of Person Nominating Individual*

First NameLast Name
Phone Number of Person Nominating Individual

Area CodePhone Number
Email of Person Nominating Individual
example@example.com
Nominee Name *

First NameLast Name
Nominee Phone Number (if known)

Area CodePhone Number
Please tell us how this person has contributed to improving the quality of life for individuals with brain injury and why you would like to see them win this award.
If you have written your narrative in Word or have it in a PDF document, you may submit the file HERE.

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The Alicia Cignatta Spirit of Independence Award