Award Nomination Form
Do you know an individual or organization whose outstanding contributions merit recognition?
Help us honor those making a meaningful impact in cleft care by submitting a nomination for recognition at our annual Gala. Simply complete the form below. Honorees will be celebrated at the event for their efforts to inspire and uplift our community and their exceptional contributions to children and families affected by cleft.
Nominees should exemplify one or more of the following qualities:
- Outstanding Mission Contributions – Made exceptional contributions during a mission or served as an indispensable part of the team.
- Distinguished Service – Demonstrated extraordinary dedication, leadership, or service in advancing our mission and values.
- Significant Philanthropic Support – Provided notable financial contributions or resources that have directly enabled life-changing cleft surgeries and related care.
- Lifetime Achievement – Dedicated years of service to supporting Alliance for Smiles and/or participating in cleft missions, demonstrating exceptional accomplishments, steadfast commitment, and a lasting transformative impact on patients and their communities.
- Exemplary Teamwork and Collaboration – Fostered unity, cooperation, fellowship, and a positive experience among mission team members, patients, families, partner hospitals, and local healthcare providers.
- Advocacy and Awareness – Significantly promoted cleft care awareness, increased public understanding, helped coordinate fund- or friend-raising events, or inspired others to take action.
Your nomination should highlight the nominee’s achievements, impact, and dedication, as well as the ways in which their work or service has benefited Alliance for Smiles and/or the wider cleft community. Please provide as much detail as possible so our selection committee may fully appreciate the nominee’s contributions.