Nomination for Champion for Children - 2021

Please submit your Nominee below

The Champion for Children will be honored by colleagues, friends and family during the Eleventh Annual New Jersey Children's Ball (Wednesday, November 17, 2021 at The Palace at Somerset Park) for his/her extraordinary act of service that has left an indelible mark on the practice of pediatrics.

We are asking you to submit your nominations via the form below. Deadline for submissions is February 28, 2021.

Multiple Child Advocates can be recognized by NJAAP. The Nominee(s) should be a (group of) person(s) who has/have achieved a notable accomplishment in furthering the health and/or well-being of Children and/or Adolescents in New Jersey. Champions for Children can also be organizations who have demonstrated dedication to the health and well-being of New Jersey’s Children.

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* 1. Your Name

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* 2. Your Email Address

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* 3. Contact Information Nominee

Name Nominee *

Address:

Address 2:

City/Town:

State:

ZIP:

Email Address (if known)

Phone Number (if known)

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* 4. Please describe why you are nominating this particular person and provide specific examples of how he/she has made an impact on New Jersey's children.

Supporting documents, such as additional letter of endorsement, a curriculum vitae, news articles, organization newsletters, brochures, or other publications are welcomed and encouraged, and may be emailed separately to lreinhardt@njaap.org