2024 CFC International Community Awards
CFC International
2024 Community Award Nomination Application
Deadline June 1, 2024

AWARDS:
Harley Melvin Profile in Courage Award:
Given to individuals with CFC syndrome (living or deceased) that have shown tremendous courage.

Brenda Conger Award for Mission Mavens:
Named after CFC International's Founder, this award is given to a parent(s) or caregiver(s) of an individual with CFC syndrome that has worked in the margins of their lives to advance awareness.

CFC International's Profile in Philanthropy:
Given to a family/caregiver or individual of a CFC family that raised funds to impact our ability to provide better treatment, awareness or research.

Samantha Colleran Community Commitment Award:
A non-CFC family/caregiver fundraiser, or individual(s) that have promoted CFC syndrome awareness.

Giovanni Neri Award for Advancement of Research:
Given to a medical professional/team that has made significant strides in CFC syndrome research.

Mary Ella Pierpont Award for Advancement of Treatment:
Given to a medical professional/team that has made significant improvements for treating individuals with CFC syndrome.

Linda Kohler Volunteer Service Award
Given to an individual or family that goes above and beyond in their volunteer role.   
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Your Full Name: *
Your Business/Organization Name (if you are making a nomination on behalf of a group)
Your Email Address: *
Your Phone Number:
Please list any additional people you believe would like to co-nominate this individual, group, family, organization or business. (Not mandatory)
What Award Are You Nominating this Individual, Family, Group, Organization or Business For? *
Full Name of Nominee: *
If nominating a group or business, please provide a primary contact for the group:
Email Address of Nominee or Primary Nominee Contact: *
Phone Number of Nominee or Primary Nominee Contact:
Please explain why you are nominating this person, business, organization, or group for this award.  If you would like to create a separate letter, please simply state “See Attached” in this section and attach it to this application. One sheet should be sufficient. *
Disclaimer:  I certify that I am nominating the above nominee for an award to be given at the 2024 CFC International Family Medical Conference.  I recognize that attendance of recipients is not necessary, but CFC International will make award recipients not already registered aware of recognition so that they can make reasonable efforts to attend or someone may attend on their behalf. *
Required
Signature (please type name): *
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