Nomination Form

Nominate a Program or Practice

Submitter's Name:

Submitter's Email Address:

Re-Enter Submitter's Email Address:

Program/Practice Name

Program Address:

Program Contact E-Mail Address:

Program Contact Phone Number:

Description of program or practice, target population, and target setting (be as detailed as possible):

Description of the methodology used to evaluate the effectiveness of the program or practice (be as detailed as possible):

Description of the evaluation or meta-analysis outcomes and findings, including findings on research objectives and performance (be as detailed as possible):

Link to evaluation/meta-analysis study:

Attachments:

One file only.
256 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.
50 MB limit per form.

Date Created: July 10, 2020