Young Leadership Award Nomination

Complete the requested information and submit to be considered for the NSLHA Young Leadership Award or download a fillable pdf form on the previous web page. Email to [email protected]. Deadline for Submissions is August 31, 2023.

Young Leadership Award Nomination Form

Applicant's Name

First Last

Employer or Educational Institution

Address

Street Address City State ZIP Code

Applicant's Phone

Applicant's Email

Describe your leadership position with NSLHA or other community professional organizations and your contributions to the speech-language-hearing profession

In addition to NSLHA, what over professional organizations do you belong to? Describe your involvement in these organizations

How would you like to expand your involvement in NSLHA and share your knowledge and/or expertise (please refer to https://k04.932.myftpupload.com/leadership for ideas)?

File Upload:

Please upload two letters of support from non-family members.

Drop files here or

Max. file size: 100 MB.

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Young Leadership Award Nomination

Young Leadership Award Nomination Form

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