OA 2025-FER Stream 2-Application form

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

Nomination Form for Stream 2: Inclusive Researcher/Innovator
Stream 2: Outstanding Inclusive Researcher/Innovator

This stream recognizes KBHN researchers and innovators who integrate inclusivity into their work and contribute significantly to the neurodevelopmental disability research community through innovative inclusive practices and partnerships.
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 work in family engagement in research (max 250words). Detail the specific projects, methodologies, or strategies the nominee has employed to engage families meaningfully in research.*
2. How has the nominee impacted families or communities through their engagement efforts? (max 250 words). Include examples of how the research outcomes have benefited families, improved services, or influenced policy.*
3. Why do you believe this nominee should receive the KBHN Outstanding Inclusive Researcher/Innovator award for 2024-2025? (max 250 words). Share additional details highlighting the nominee’s dedication, creativity, and long-term contributions to family engagement in research.*
Supporting Documents
Attach the CV of the nominee (any format is accepted as long as it is up to date).

Add a maximum three supporting documents, such as research publications, impact reports, or letters from family partners involved in the research.
Nominee CV*

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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