IHS Awards Nomination Form

IHS Award Nomination Form

Please fill out this form to nominate an individual or group for an IHS award.
Information about the Awards
- Outstanding Professional Member Award: Presented to an IHS member that has made significant contributions to the advancement of the International Hearing Society’s values and goals, including advancing and enhancing the professional identity and status of IHS membership; to advance a mutual respect among hearing healthcare professionals, to assure IHS members’ eligibility as providers in the hearing care delivery system; to advance professional qualifications and standards in the hearing aid dispensing field; and to educate the public about the profession’s role in hearing loss identification and hearing healthcare delivery. Both the nominee and nominator must have been members of IHS for a minimum of five (5) years.
- IHS Emerging Professional Award: For the individual professional member who has expanded the role of hearing aid dispensing professional through IHS/chapter participation, leadership, volunteering, and/or professional growth, thereby representing and promoting the mission of IHS to a larger audience. Nominees must be a professional member of IHS that has been practicing for 5 years or less. Nominators must have been a member of IHS for a minimum of five (5) years.
- James P. Lovell Advocacy Award: Presented each year to an individual or organization who has accomplished extraordinary achievements in advocating for the hearing impaired.
- Chapter of the Year Award: Bestowed annually to the chapter that has made the most significant contributions to both the profession and the industry through chapter development, advocacy, public relations, meetings and education initiatives. CLICK HERE to access our Chapter of the Year Nomination Form.

1. Choose the Award
Which Award are you Nominating this person for?

IHS Outstanding Professional Member AwardIHS Emerging Professional AwardIHS James P. Lovell Advocacy Award
Reason For Nomination
Explain why your nominee deserves the selected award (minimum 200 words).

2. Nominee Information
Nominee's Name

First NameLast Name
Nominee Designations (if applicable)
i.e., MA, ACA, BC-HIS
Nominee's Phone Number

Area CodePhone Number
Nominee's E-mail Address
Nominee's Business Name
Nominee's Address

Business Name

Street Address

CityState / Province

Postal / Zip CodeCountry

3. Your Information
Your Name

First NameLast Name
Designations (if applicable)
i.e. MA, ACA, BC-HIS
IHS Member Number
Your E-mail Address
Your Phone Number

Area CodePhone Number
Your Address

Business Name

Street Address

CityState / Province

Postal / Zip CodeCountry
We ask that you submit a supporting statement, which may include documentation for your nomination (e.g articles, press releases). To do so, click "Browse Files" to attach documentation.
Tell us why you are nominating this person:
Browse Files

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IHS Award Nomination Form