CHIA 2025 Community Leadership  Logo
  • Community Leadership

    This award recognizes an organization or team that is supporting its community through continuing leadership in social, economic and/or environmental issues.
    • Nominee 
    • Nominee for Community Leadership 2025

      Please type nominee information as it should appear on any CHIA 2025 communications or awards.
    • Nominee Contact Info 
    • Organization Contact Person

      Who can we talk to about this nomination? This is typically the person who would receive the award on behalf of the team or organization, but can also be a team leader or key company contact.
    • Nominator Contact Info 
    • Nominator Contact Information

      If you are also the key contact person for this organization, please simply re-enter your information.
    • Nomination Info 
    • Nomination Criteria

      The following prompts are designed to guide your nomination for Community Leadership, and correspond to the criteria that the CHIA 2025 jury will use for winner selection. You may choose to provide additional relevant details for the jury's consideration at the end.
    • 0/300
    • 0/300
    • 0/300
    • 0/300
    • Footer / Disclaimer 
    • Information submitted through this form is the only documentation that will be used by the CHIA 2025 jury to evaluate nominations. All nomination information is kept confidential.

      All CHIA 2025 nominations are due by November 29, 2024 at 11:59pm ET.

      You may use the "Save as a Draft" button below to save this submission as a draft and receive a link by email to continue it later. Draft submissions are not visible to the organizers and will not be received until you click the "Submit" button below. Upon submission, you will receive a confirmation email with a copy of the information submitted.

      By clicking "Submit", you confirm that you have the right to share the information in it, on behalf of the nominee, with CHIA 2025 jurors and the organizer, Catalytic Health. You also affirm that this information is true and accurate to the best of your knowledge.

    • Should be Empty: