Cure Warrior Advocate Award Nomination
Questions marked by * are required.
1. Full Name of Person Making Nomination *
2. Email Address of Person Making Nomination *
3. Confirm Email Address *
4. Full Name of Nominee *
5. Professional Affiliation (if any) of Nominee
6. Nominee *
  • Is an Individual with Paralysis
  • Family Member of Person with Paralysis
  • Other
7. What specific activities has the nominee participated in to support the cure effort? *
8. Please explain in your own words how your nominee has earned the Cure Warrior Advocate Award. *