OA 2025-FER Stream 1-Application form

KBHN Annual Outstanding Awards 2024-2025 Outstanding KBHN Leadership Award in Family Engagement in Research

Nomination Form for Stream 1: Outstanding Family Leader
Stream 1: Outstanding Family Leader

This award recognizes a family member (youth or caregiver) who has demonstrated exceptional leadership and advocacy in family engagement.
Nominee Information
Name*

First NameLast Name
Email*
Phone Number*
Role in Family Engagement*
Organization/Community Group (if applicable)
Nominator Information
Name*

First NameLast Name
Position/Role*
Organization/Institution*
Email*
Phone Number*
Nomination Details
1. Describe the nominee’s leadership in family engagement in research (max 250 words). Provide specific examples of the nominee’s advocacy, initiatives, or programs that have benefited families and advanced family-centered research.*
2. What impact has the nominee had on families or communities through their engagement efforts? (max 250 words). Include measurable outcomes, stories, or testimonies that show case the nominee’s impact.*
3. Why do you believe this nominee should receive the KBHN Outstanding Family Leader award for 2024-2025? (max 250 words). Share additional details that highlight the nominee’s dedication, creativity, and long-term contributions to family engagement in research.*
Supporting Documents
Attach maximum three supporting documents, such as letters of recommendation, family testimonials, or project summaries demonstrating the nominee’s contributions. To be considered, at least one support letter is required from someone other than the nominator.
Attached Document 1*

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Attached Document 2

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Attached Document 3

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Others
How did you hear about this call?*

KBHN NewsletterSocial Media (e.g.,Twitter, Facebook, LinkedIn, Instagram)Other
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Agreement and Signature

By submitting this nomination, you agree that all information provided is accurate and that the nominee has agreed to be considered for this award.
Nominator’s Signature*

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Date*

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KBHN Annual Outstanding Awards 2024-2025 Outstanding KBHN Leadership Award in Family Engagement in Research

Nominee Information

Nominator Information

Nomination Details

Supporting Documents

Others

Agreement and Signature