OA 2025-Lived Experience Leader -Application form

KBHN Annual Outstanding Awards 2025-2026 Outstanding Lived Experience Leader

Nomination Form
Nominee Information

Please describe accomplishments and achievements from the 2024-2025 time period only.
Name*

First NameLast Name
Email*
Phone Number*
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 lived experience (max 250 words). Provide specific examples of the nominee’s advocacy, initiatives, or programs that have benefited families and advanced family-centred 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 Outstanding Lived Experience Leader award for 2025-2026? (max 250 words). Share additional details that highlight the nominee’s dedication, creativity, and long-term contributions to leadership for families, communities, or systems.*
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., Bluesky, 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 2025-2026 Outstanding Lived Experience Leader

Nominee Information

Nominator Information

Nomination Details

Supporting Documents

Others

Agreement and Signature