APSS DEI Leadership Award

Submit this nomination form and all required attachments by February 22, 2021.

Nominee's Name*

Nominee's Email Address*

Nominee's Telephone Number*

Self Nomination*

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Nominator Name*

Nominator Email*

Nominator Telephone*

Relationship to Nominee*

How did you hear about this award?*

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Letter of support for Nominee*

Please provide a brief statement highlighting the nominee's contributions and why they are deserving of this award (300 word maximum). The letter of support should address the following questions: What has the nominee done to foster awareness of diversity, equity and inclusion in the sleep community? How has the nominee contributed to educational programs targeted at diverse populations? What research or clinical work have they done aimed at reducing sleep health disparities?

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Required: CV Summary, bio-sketch or resume (2-page max) Optional: Documents showing the nominee's contributions to Diversity, Equity, and Inclusion

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