Award Nomination Form

The Standing Up for Black Mothers and Babies Awards will be presented in recognition of outstanding leaders and advocates for mothers and babies. The Standing Up for Black Mothers and Babies Awards Event will be held virtually October 21, 2021. As a key partner in the maternal and child health community, you can identify people or organizations that have been exemplary in advancing the health of women and children in the St. Louis region. Please submit nominees by June 2, 2021.

Nominator Name*

Nominator Email*

Nominator Phone*

Partner Organization

Name of Nominee*

Nominee Address*

Nominee Email*

Nominee Phone*

Award Category*

Select one category.

Dr. Terry Leet Researcher Award

This category is for an individual, collaborative or institution making significant research contributions to maternal and child health.

Dr. Corrinne Walentik Provider/Practitioner Champion

This category is for an individual or institution that provides direct health or community services and uses their knowledge/practice to advocate for improvements in maternal and child health.

Alderman Gregory Carter Community Champion

This category is for a volunteer, consumer or front-line employee who exemplifies a commitment to the health of mothers and babies.

Judy Wilson-Griffin Maternal Health Equity Champion

This category is for an individual making a remarkable contribution to advancing racial equity in maternal health and demonstrates a commitment to bridging community and health care.

What contribution has your nominee made to maternal and child health?

Why do you think this person deserves the award?

How does your nominee prioritize racial equity in maternal and infant health?

Programs & Initiatives

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