2023 BIAA Awards Nomination Form Nominations are due by 11:59 p.m. ET on Thursday, August 31, 2023 The Brain Injury Association of America (BIAA) is pleased to announce the call for nominations for our 2023 Awards Program, which recognizes outstanding researchers and clinicians in the field of brain injury. The Awards will be presented at the 100th annual conference of the American Congress of Rehabilitation Medicine on October 31, 2023.In order to nominate an individual for an award, you will need to: Complete this nomination form. Include a copy of the nominee’s resume or curriculum vitae. Submit a narrative, not to exceed 1,000 words, describing the nominee’s attributes as they relate to the nomination criteria. Question Title * 1. Nominated for (check one): William Fields Caveness Award Sheldon Berrol, MD Clinical Service Award Question Title * 2. Nominee Information Nominee's Name Organization Address Address 2 City/Town State/Province ZIP/Postal Code Email Address Phone Number Question Title * 3. Please submit a current copy of the nominee’s resume or curriculum vitae. PDF, DOC, DOCX file types only. Choose File Choose File No file chosen Remove File Please submit a current copy of the nominee’s resume or curriculum vitae. Question Title * 4. Please provide a 1,000 word or less narrative (criteria listed below) AWARD DESCRIPTIONS AND NOMINATION CRITERIA William Fields Caveness Award:Presented to an individual who, through research on both a national and international level, has made outstanding contributions to bettering the lives of people who have sustained a brain injury.Nomination Criteria to be addressed in 1,000 words (or less) narrative: Describe the nominee’s area of research, including the number of publications and whether the research was scientific or grant-funded. How has this nominee’s research impacted the field, the lives of persons with brain injuries, and their families? Comment on the breadth and depth of research dissemination efforts. Sheldon Berrol, MD Clinical Service Award: Presented to an individual who, through a long clinical service career, has made outstanding contributions to improving quality of care, professional training and/or education in the field of brain injury. Nomination Criteria to be addressed in 1,000 words (or less) narrative: Describe the nominee’s area of clinical service, accomplishments, and impact on others. How has this service contributed to improving the quality of care, and professional training/education for people who have sustained brain injuries? Has the work of this nominee been disseminated to the public? If yes, please describe the manner in which this has been done. Question Title * 5. Nominated by Name * Company Email Address * Phone Number * Done