Clone of Cloud Awards Nomination Form 2025 Logo
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  • Cloud Award Nomination Award

    The Arizona Partnership for Immunization is seeking nominations for the 2026 Dr. Daniel T. Cloud Outstanding Practice Toddler and Teen Awards.
  • Nomination FAQ's

  • Who can submit a nomination?

    Anyone, at any practice, may submit a nomination. You may nominate your own practice.
  • Who can be nominated?

    Any organization that vaccinates toddlers (24-35 months) and/or teens (13-15 years.) The organization may or may not be VFC providers. (Please note: If you're wanting to recognize organizations and individuals who have distinguished themselves by improving the health and wellness of Arizona’s communities and the lives of Arizona children through increasing immunization rates, please visit TAPI's website at whyimmunize.org and nominate for The Arizona Big Shots Awards.)
  • What is the winner criteria?

    What is the winner criteria?

    Award winners are determined by being top-performing practices based on 90% coverage for specific toddler and/or teen vaccine series shown above.
    • 1. Nominee Information 
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    • 2. Primary Contact Information 
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    • 3. Secondary Contact Information 
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    • 4. Upload ASIIS Coverate Rate Report(s) 
    • ASIIS Coverage Rate Report Instructions

      If you are ready to upload your ASIIS Coverage Rate Report(s) you may do so now. If you would like to upload Coverage Rate Reports later, you will receive a link to return to this form to upload your Coverage Rate Reports later. WORD OR EXCEL DOCUMENTS ARE NOT ACCEPTED. Only PDF, JPG and PNG files are accepted.
    • View instructions for How To Run an ASIIS Coverage Rate Report

      Before uploading any ASIIS Coverage Rate Reports:

      1. DO NOT UPLOAD ANY PATIENT DATA.
      2. Please write you VFC PIN number at the top of your ASIIS Coverage Rate Report before uploading it.
    • TODDLER

    • Sample Toddler ASIIS Coverage Rate Report

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    • TEEN

    • Sample Teen ASIIS Coverage Rate Report

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    • COMBINED TODDLER & TEEN

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    • 5. Confirmation 
    • Before submitting your Coverate Rate Report(s), please confirm these elements are correct. Incorrect Coverage Rate Reports will have to be redone and resubmitted.

      TODDLER

      1. The "As of Date" on my Toddler Coverate Rate Report shows today's date
      2. The "Series" on my Toddler Coverate Rate Report shows 4:3:1:3:3:1:4 (4 DTaP, 3 Polio, 1 MMR, 3 Hep B, 3 Hib,1 Varicella and 4 Pneumo(PCV)
      3. The "Evaluate At" date on my Toddler Coverage Rate Report shows 24 Months
      4. The "Age Range" on my Toddler Coverage Rate Report shows 24 Months through 35 Months

      TEEN

      1. The "As of Date" on my Teen Coverage Rate Report shows today's date
      2. The "Series" on my Teen Coverage Rate Eeport shows Teen Series - 1 Tdap; 1 MCV;UTD HPV
      3. The "Evaluate At" date on my Teen Coverage Rate Report shows All
      4. The "Age Range" on my Teen Coverage Rate Report shows 13 Years through 15 Years
    • 6. Awards Ceremony 
    • Celebrate!

      We look forward to welcoming everyone to celebrate the accomplishments of the Cloud Award winners this year at our annual Big Shots for Arizona Awards Ceremony! This is an opportunity to publically recognize immunization efforts over the past year. The ceremony will be in person on Tuesday, April 14, 2026 from 5:00 - 8:00 PM at the same location as last year, DoubleTree by Hilton Phoenix-Mesa.
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