Courage Award Nomination | Cleveland Clinic

Submissions must be received by Friday, September 13, 2019.

*Indicates required information.

Nominators Name

Nominators Email

Nominators Phone number

Relationship to Nominee

Nominee Name

Nominee Contact Name (parent/guardian, if under 18)

Nominee Contact email address (parent/guardian, if under 18)

School (attending or attended)

Please describe how this student athlete has portrayed courage to overcome their personal obstacles

What was the nominees involvement in sports before the diagnosis/incident

What was the condition/injury

Describe the treatment/procedure/rehabilitation

How did the injury/condition effect his/her quality of life or participation in sports?

What resources did the nominee use to overcome the challenge; family, friends, team, prayer

What gave him/her inspiration/motivation to keep going

Status after treatment/procedure; return to sports

How did the nominee react to the diagnosis/injury

Future plans for the nominee