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<!DOCTYPE HTML> <html lang="en-US"> <head> <title>2025 HIVMA Awards</title> <meta name="viewport" content="width=device-width, initial-scale=1.0" /> <meta http-equiv="Content-Type" content="text/html; charset=utf-8" /> <meta name="referrer" content="no-referrer-when-downgrade">  <script type="text/javascript" data-for="FA__DOMContentLoadedEventDispatch" src="https://idsa.tfaforms.net/js/FA__DOMContentLoadedEventDispatcher.js" defer></script> <script type="text/javascript"> document.addEventListener("FA__DOMContentLoaded", function(){ const FORM_TIME_START = Math.floor((new Date).getTime()/1000); let formElement = document.getElementById("tfa_0"); if (null === formElement) { formElement = document.getElementById("0"); } let appendJsTimerElement = function(){ let formTimeDiff = Math.floor((new Date).getTime()/1000) - FORM_TIME_START; let cumulatedTimeElement = document.getElementById("tfa_dbCumulatedTime"); if (null !== cumulatedTimeElement) { let cumulatedTime = parseInt(cumulatedTimeElement.value); 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} #tfa_66, *[id^="tfa_66["] { height: 182px !important } #tfa_66-D, *[id^="tfa_66["][class~="field-container-D"] { height: auto !important; } #tfa_66-L, label[id^="tfa_66["], *[id^="tfa_66["][id$="-L"] { height: auto !important; } </style><div class=""><div class="wForm" id="167-WRPR" data-language="en_US" dir="ltr"> <div class="codesection" id="code-167"> <script>wFORMS.behaviors.paging.showTabNavigation = true;</script><script> wFORMS.behaviors.paging.showProgressBar = true; </script> </div> <h3 class="wFormTitle" data-testid="form-title" id="167-T">2025 HIVMA Awards</h3> <form method="post" action="https://idsa.tfaforms.net/api_v2/workflow/processor" class="hintsBelow labelsAbove" id="167" enctype="multipart/form-data"> <div class="wfPage" id="wfPgIndex-1"><div class="section pageSection" id="tfa_2"><div class="htmlSection" id="tfa_1"><div class="htmlContent" id="tfa_1-HTML"><p style="margin: 0in; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif; color: rgb(0, 0, 0); background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;" class="MsoNormal"><b><span style="font-size: 12pt; color: black;">HIVMA recognizes our members' contributions to a</span><span style="font-size: 12pt; color: black; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">dvancing the field across the career trajectory and research, prevention, education and care spectrum to help make it possible to envision ending HIV as an epidemic.</span><span style="font-size: 12pt; color: black;"></span></b></p><p style="margin: 0in; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif; color: rgb(0, 0, 0); background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;" class="MsoNormal"><span style="font-size: 12pt; color: black;"> </span></p><p style="margin: 0in; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif; color: rgb(0, 0, 0); background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;" class="MsoNormal"><span style="font-size: 12pt; color: black;"><br></span></p><p style="margin: 0in; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif; color: rgb(0, 0, 0); background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;" class="MsoNormal"><span style="font-size: 12pt; color: black;"><b>Help us by nominating your colleague for an HIVMA Award!</b></span><span style="color: rgb(54, 54, 54); font-family: "Nunito Sans"; font-size: 14.6667px;"><b> </b></span></p><p style="margin: 0in; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif; color: rgb(0, 0, 0); background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;" class="MsoNormal"><span style="font-size: 12pt; color: black;"></span></p><p style="margin: 0in; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif; color: rgb(0, 0, 0); background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;" class="MsoNormal"><span style="font-family: "Nunito Sans"; color: rgb(54, 54, 54); background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><br></span></p><p style="margin: 0in 0in 8pt; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif; color: rgb(0, 0, 0); background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;" class="MsoNormal"><b><span style="font-size: 12pt; color: rgb(31, 54, 92);"><br>Innovator Award</span></b></p><p style="margin: 0in 0in 8pt; line-height: normal; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;" class="MsoNormal"><span style="font-size: 14.6667px;">The Innovator Award recognizes HIVMA members in early or mid-career who have made outstanding and original contributions to HIV medicine in clinical care, provider education, research, or advocacy.  </span></p><p style="text-align: left; margin: 0in 0in 8pt; line-height: normal; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;" class="MsoNormal"><span style="font-size: 14.6667px;"><i style="">Nominees must be early to mid-career and be either:</i></span></p><p style="text-align: left; margin: 0in 0in 8pt; line-height: normal; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;" class="MsoNormal"><span style="font-size: 14.6667px;"><i>•<span style="white-space:pre"> </span>45 years of age or younger </i></span></p><p style="text-align: left; margin: 0in 0in 8pt; line-height: normal; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;" class="MsoNormal"><i><u style="font-size: 14.6667px;">OR</u></i></p><p style="text-align: left; margin: 0in 0in 8pt; line-height: normal; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;" class="MsoNormal"><span style="font-size: 14.6667px;"><i>•<span style="white-space:pre"> </span></i><i style="">Achieved no higher than associate professor </i></span></p><p style="margin: 0in 0in 8pt; line-height: normal; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;" class="MsoNormal"><span style="font-size: 14.6667px;">The award will be based on innovation and originality in advancing independent research and productivity, HIV clinical care, provider education or advocacy.</span></p><div><br></div><p style="margin: 0in 0in 8pt; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif; color: rgb(0, 0, 0); background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;" class="MsoNormal"><b><span style="font-size: 12pt; color: rgb(31, 54, 92);">Transformative Leader Award</span></b></p><p style="margin: 0in 0in 8pt; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif; color: rgb(0, 0, 0); background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;" class="MsoNormal"><span style="font-size: 12pt; color: rgb(54, 54, 54);">The Transformative Leader Award recognizes HIVMA members who have transformed the field with demonstrated significant achievement in HIV clinical care, provider education, research or advocacy. Significant achievement will be based on overall achievement and contributions that transcend a single institution and that have impacted patient care within a city, region, state or nationally.</span></p><p style="margin: 0in 0in 8pt; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif; color: rgb(0, 0, 0); background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;" class="MsoNormal"><span style="font-size: 12pt; color: rgb(54, 54, 54);"><br></span></p><p style="margin: 0in 0in 8pt; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif; color: rgb(0, 0, 0); background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;" class="MsoNormal"></p><p style="margin: 0in 0in 8pt; line-height: normal; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;" class="MsoNormal"><span style="font-size: 14.6667px;"><b>Adaora Adimora Citation Award* </b></span></p><p style="margin: 0in 0in 8pt; line-height: normal; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;" class="MsoNormal"></p><p style="margin: 0in 0in 8pt; line-height: normal; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;" class="MsoNormal"></p><p style="margin: 0in 0in 8pt; line-height: normal; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;" class="MsoNormal"><span style="font-size: 14.4px;">The Adaora Adimora Citation Award honors the late Adaora Adimora, MD, MPH, FIDSA. Dr. Adimora was a past chair of HIVMA and member of the IDSA Board of Directors who had an unwavering commitment to advancing health equity and improving HIV prevention and care for disenfranchised populations through research, education and advocacy. </span></p><p style="margin: 0in 0in 8pt; line-height: normal; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;" class="MsoNormal"></p><p style="margin: 0in 0in 8pt; line-height: normal; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;" class="MsoNormal"><span style="font-size: 14.4px;">In her honor - the award honors Dr. Adimora’s compassion, leadership and service to HIVMA and the field by recognizing exemplary contributions to advancing efforts to end the HIV epidemic, such as through their work, which may include social justice, public service or in service with HIVMA. Non-members who have made extraordinary contributions to ending the HIV epidemic may be considered for this award. </span></p><div><br></div><p style="margin: 0in 0in 8pt; line-height: normal; font-size: 11pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;" class="MsoNormal">We encourage reaching out to HIVMA staff at <b style="">info@hivma.org </b>if you have any questions regarding eligibility. </p></div></div></div></div> <div class="wfPage" id="wfPgIndex-2"><div class="section pageSection" id="tfa_3"> <div class="htmlSection" id="tfa_54"><div class="htmlContent" id="tfa_54-HTML"><h4>Eligibility and Award Criteria</h4></div></div> <div class="htmlSection" id="tfa_5"><div class="htmlContent" id="tfa_5-HTML"><p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif; color: rgb(0, 0, 0); background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"></p><ol><li><span style="font-size: 12pt; color: black;">Award nominees, primary nominators, and at least one secondary nominator must be active members of HIVMA or IDSA in good standing with the exception of the Citation Award*. </span></li><li><span style="font-size: 12pt; color: black;">Members currently serving on the IDSA or HIVMA Boards of Directors or the IDSA Society or HIVMA Awards Committees are not eligible to be nominated.</span></li><li><span style="font-size: 12pt; color: black;">Individuals who have previously won a particular award are not eligible to win that award again. They may, however, be nominated in a different award category or for an IDSA Award. </span></li><li><span style="font-size: 12pt; color: black;">Self-nominations are not permitted.</span></li></ol><p></p><p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif; color: rgb(0, 0, 0); background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><i style="color: rgb(81, 94, 89); font-family: Montserrat, sans-serif;">*Non-members who have made extraordinary acts may be considered for the Citation Award.</i></p><p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif; color: rgb(0, 0, 0); background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><i style="color: rgb(81, 94, 89); font-family: Montserrat, sans-serif;"><br></i></p><p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif; color: rgb(0, 0, 0); background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><span style="font-size: 12pt; color: black;"><b>Award Criteria:</b></span></p><p class="MsoNormal" style="text-align: left; margin: 0in 0in 8pt; line-height: normal; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><span style="font-size: 14.6667px;">Nominees for the <b>Innovator</b></span><span style="font-weight: 700; font-size: 14.6667px;"> Award</span><span style="font-size: 14.6667px;"> must be early or mid-career who have made outstanding and </span><span style="font-size: 14.4px;">original</span><span style="font-size: 14.6667px;"> contributions to HIV medicine in clinical care, provider education, research, or advocacy. </span><span style="font-size: 14.6667px; text-align: center;"><i style="">Nominees must be early to mid-career and be either: </i></span></p><p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><span style="font-size: 14.6667px;"><i>• 45 years of age or younger                                                                                                                   </i></span><i style="font-size: 14.6667px;"><b>OR                                                                                                                                                       </b></i><i style="font-size: 14.6667px;">• Achieved no higher than associate professor</i></p><div></div><p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><span style="font-size: 12pt;">The award will be based on innovation and originality in advancing independent research and productivity, HIV clinical care, and provider education or advocacy.</span></p><p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif; color: rgb(0, 0, 0); background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><span style="font-size: 12pt; color: black;">Nominees for the <b>Transformative Leader Award</b> will be evaluated based on the demonstration of significant achievement in HIV clinical care, provider education, research or advocacy. Significant achievement will be based on overall achievement and contributions that transcend a single institution and that have impacted patient care within a city, region, state or nationally.</span></p><p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><font face="Calibri, sans-serif" color="#000000"><span style="font-size: 12pt;">Nominees for the </span></font><span style="font-size: 14.6667px;"><b>Adaora Adimora Citation Award </b></span><font face="Calibri, sans-serif" color="#000000"><span style="font-size: 12pt;">will be evaluated based on exemplary contributions or service to HIVMA and/or in advancing efforts to end HIV as an epidemic, such as through social justice and public service. In special circumstances, it may be awarded to recognize extraordinary acts by individuals who are not HIVMA members.</span></font></p><p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif; color: rgb(0, 0, 0); background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><span style="font-size: 12pt; color: black;"><br></span></p><p style="margin: 0in; font-size: 12pt; font-family: Calibri, sans-serif; color: rgb(0, 0, 0); background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;" class="MsoNormal"><b><span style="font-family: Montserrat; color: black;">To submit a nomination:</span></b><span style="color: black;"></span></p><p style="margin: 0in; font-size: 12pt; font-family: Calibri, sans-serif; color: rgb(0, 0, 0); background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;" class="MsoNormal"><b><span style="font-family: Montserrat; color: black;"><br></span></b></p><p class="MsoNormal" style="margin: 0in 12pt 0.0001pt 0.25in; font-size: 12pt; font-family: "Times New Roman", serif; color: rgb(0, 0, 0); background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><b><span style="font-family: Montserrat; color: black;">Complete the nomination form on page 3.</span></b><span style="font-family: Calibri, sans-serif; color: black;"></span></p><p class="MsoListParagraph" style="margin: 0in 12pt 0in 0.5in; font-size: 12pt; font-family: Calibri, sans-serif; color: rgb(0, 0, 0); background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><span style="color: black;"> </span></p><p class="MsoNormal" style="margin: 0in 12pt 0.0001pt 0.25in; font-size: 12pt; font-family: "Times New Roman", serif; color: rgb(0, 0, 0); background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><b><span style="font-family: Montserrat; color: black;">Have nominee’s CV ready to upload.</span></b><b><i><span style="font-family: Montserrat;"> </span></i></b><i><span style="font-family: Montserrat;">It is optional to upload a biosketch in addition to their CV.</span></i><span style="font-family: Calibri, sans-serif; color: black;"></span></p><p class="MsoNormal" style="margin: 0in 12pt 0in 0in; font-size: 12pt; font-family: "Times New Roman", serif; color: rgb(0, 0, 0); background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><span style="font-family: Calibri, sans-serif; color: black;"> </span></p><p class="MsoNormal" style="margin: 0in 12pt 0.0001pt 0.25in; font-size: 12pt; font-family: "Times New Roman", serif; color: rgb(0, 0, 0); background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><b><span style="font-family: Montserrat; color: black;">Be prepared to submit a statement of support from a seconding nominator.</span></b><span style="font-family: Calibri, sans-serif; color: black;"> </span><i><span style="font-family: Montserrat;">Award nominations require a statement of support from at least one, but no more than two, Secondary Nominators. At least one seconding nominator must be an active member of HIVMA or IDSA. All secondary nominations must be entered on page 4.</span></i><span style="font-family: Calibri, sans-serif; color: black;"></span></p><p class="MsoNormal" style="margin: 0in 12pt 0in 0in; font-size: 12pt; font-family: "Times New Roman", serif; color: rgb(0, 0, 0); background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><span style="font-family: Calibri, sans-serif; color: black;"> </span></p><p class="MsoNormal" style="margin: 0in 12pt 0.0001pt 0.25in; font-size: 12pt; font-family: "Times New Roman", serif; color: rgb(0, 0, 0); background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><b><span style="font-family: Montserrat; color: black;">Save and resume.</span></b><span style="font-family: Calibri, sans-serif; color: black;"> </span><i><span style="font-family: Montserrat;">If you choose to save your nomination form to submit later, you can return to the form at any time by using the same application link. Once the form opens, you can select "Resume a previously saved form" in the top right corner under the progress bar.</span></i><span style="font-family: Calibri, sans-serif; color: black;"></span></p><p style="margin: 0in; font-size: 12pt; font-family: Calibri, sans-serif; color: rgb(0, 0, 0); background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;" class="MsoNormal"><b><span style="font-family: Montserrat; color: black;"><br></span></b></p><p style="margin: 0in 0in 8pt 57pt; font-size: 12pt; font-family: Calibri, sans-serif; color: rgb(0, 0, 0); background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;" class="MsoNormal"><span style="color: black;"><br></span></p><p style="margin: 0in; font-size: 12pt; font-family: Calibri, sans-serif; color: rgb(0, 0, 0); background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;" class="MsoNormal"><b><span style="font-family: Montserrat; color: black;">If you have any questions or concerns, email us at info@hivma.org</span></b><span style="color: black;"></span></p><p style="margin: 0in; font-size: 12pt; font-family: Calibri, sans-serif; color: rgb(0, 0, 0); background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;" class="MsoNormal"><b><span style="font-family: Montserrat; color: black;"><br></span></b></p><p style="margin: 0in 12pt 0in 0.5in; font-size: 12pt; font-family: Calibri, sans-serif; color: rgb(0, 0, 0); background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;" class="MsoListParagraphCxSpLast"><br></p></div></div> </div></div> <div class="wfPage" id="wfPgIndex-3"><div class="section pageSection" id="tfa_6"> <div class="htmlSection" id="tfa_53"><div class="htmlContent" id="tfa_53-HTML"><h4><span style="color: black; font-family: Calibri, sans-serif; font-size: 12pt; line-height: 17.12px;">Nomination Questions:</span></h4></div></div> <div class="oneField field-container-D " id="tfa_8-D" role="radiogroup" aria-labelledby="tfa_8-L" data-tfa-labelledby="-L tfa_8-L"> <label id="tfa_8-L" class="label preField reqMark" data-tfa-check-label-for="tfa_8"><p class="MsoNormal" style="margin: 0in; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif; color: rgb(0, 0, 0); background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><span style="font-size: 12pt; color: black;">Are you an active member of HIVMA or IDSA?</span></p></label><br><div class="inputWrapper"><span id="tfa_8" class="choices vertical required"><span class="oneChoice"><input type="radio" value="tfa_9" class="" id="tfa_9" name="tfa_8" aria-required="true" data-conditionals="#tfa_11,#tfa_71,#tfa_17,#tfa_32,#tfa_33,#tfa_34,#tfa_77" aria-labelledby="tfa_9-L" data-tfa-labelledby="tfa_8-L tfa_9-L" data-tfa-parent-id="tfa_8"><label class="label postField" id="tfa_9-L" for="tfa_9"><span class="input-radio-faux"></span>Yes</label></span><span class="oneChoice"><input type="radio" value="tfa_10" class="" id="tfa_10" name="tfa_8" aria-required="true" aria-labelledby="tfa_10-L" data-tfa-labelledby="tfa_8-L tfa_10-L" data-tfa-parent-id="tfa_8"><label class="label postField" id="tfa_10-L" for="tfa_10"><span class="input-radio-faux"></span>No</label></span></span></div> </div> <div class="oneField field-container-D " id="tfa_11-D"> <label id="tfa_11-L" class="label preField reqMark" for="tfa_11"><span style="color: black; font-size: 12pt; line-height: 17.12px; font-family: Calibri, sans-serif;">What award category are you nominating someone for?<br><br></span><span style="color: rgb(0, 0, 0); font-size: medium;"></span></label><br><div class="inputWrapper"><select aria-required="true" id="tfa_11" name="tfa_11" data-condition="`#tfa_9`" title="What award category are you nominating someone for?" class="required"><option value="">Please select...</option> <option value="tfa_12" id="tfa_12" class="">Transformative Leader Award</option> <option value="tfa_13" id="tfa_13" class="">Innovator Award</option> <option value="tfa_14" id="tfa_14" class="">Adaora Adimora Citation Award</option></select></div> </div> <div id="tfa_71" class="section highlighted group" data-condition="`#tfa_9`"> <label class="label preField" id="tfa_71-L"><span style="color: black; font-size: 12pt; line-height: 17.12px; font-family: Calibri, sans-serif;"><span style="color: rgb(81, 94, 89); font-family: Montserrat, sans-serif; font-size: 14.4px;">Award Nominee Contact Information</span><br></span><span style="color: rgb(0, 0, 0); font-size: medium;"></span></label><br><table class="gridLayout "> <thead><tr class="headerRow"> <th scope="col" id="tfa_73-GRID" class=""><span style="font-family: Montserrat, sans-serif; background-color: rgb(255, 255, 255);">Award Nominee Full Name & Degrees</span> </th> <th scope="col" id="tfa_74-GRID" class=""><span style="font-family: Montserrat, sans-serif; background-color: rgb(255, 255, 255);">  Award Nominee Email</span> </th> </tr></thead> <tbody><tr id="tfa_72" class="section alternate-0 "> <td class=""><div class="oneField field-container-D " id="tfa_73-D"><div class="inputWrapper reqMark"><input aria-required="true" type="text" id="tfa_73" name="tfa_73" value="" title="Award Nominee Full Name & Degrees" class="required"></div></div></td> <td class=""><div class="oneField field-container-D " id="tfa_74-D"><div class="inputWrapper reqMark"><input aria-required="true" type="text" id="tfa_74" name="tfa_74" value="" title=" Award Nominee Email " class="validate-email required"></div></div></td> <td style="display: none"></td> </tr></tbody> </table> </div> <div id="tfa_17" class="section group" data-condition="`#tfa_9`"> <div id="tfa_25" class="section group"> <label class="label preField" id="tfa_25-L"><span style="color: black; font-size: 12pt; line-height: 17.12px; font-family: Calibri, sans-serif;"><span style="color: rgb(81, 94, 89); font-family: Montserrat, sans-serif; font-size: 14.4px;">Primary Nominator Contact Information</span></span><span style="color: rgb(0, 0, 0); font-size: medium;"></span></label><br><table class="gridLayout "> <thead><tr class="headerRow"> <th scope="col" id="tfa_27-GRID" class=""><span style="color: black; font-size: 12pt; line-height: 17.12px; font-family: Calibri, sans-serif;"><span style="color: rgb(81, 94, 89); font-family: Montserrat, sans-serif; font-size: 14.4px; background-color: rgb(255, 255, 255);">Primary Nominator Full Name</span></span> </th> <th scope="col" id="tfa_28-GRID" class=""><span style="font-family: Montserrat, sans-serif; background-color: rgb(255, 255, 255);">Primary Nominator Email</span> </th> </tr></thead> <tbody><tr id="tfa_26" class="section alternate-0 "> <td class=""><div class="oneField field-container-D " id="tfa_27-D"><div class="inputWrapper reqMark"><input aria-required="true" type="text" id="tfa_27" name="tfa_27" value="" title="Primary Nominator Full Name " class="required"></div></div></td> <td class=""><div class="oneField field-container-D " id="tfa_28-D"><div class="inputWrapper reqMark"><input aria-required="true" type="text" id="tfa_28" name="tfa_28" value="" title="Primary Nominator Email" class="validate-email required"></div></div></td> <td style="display: none"></td> </tr></tbody> </table> </div> <table class="gridLayout "> <thead><tr class="headerRow"></tr></thead> <tbody><tr id="tfa_20" class="section alternate-0 "><td style="display: none"></td></tr></tbody> </table> <div id="tfa_85" class="section inline group"> <div class="oneField field-container-D " id="tfa_52-D"> <label id="tfa_52-L" class="label preField reqMark" for="tfa_52">Primary Nominator Relationship to Nominee:</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_52" name="tfa_52" value="" title="Primary Nominator Relationship to Nominee:" class="required"></div> </div> <div class="oneField field-container-D " id="tfa_84-D"> <label id="tfa_84-L" class="label preField reqMark" for="tfa_84">Primary Nominator Degrees</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_84" name="tfa_84" value="" title="Primary Nominator Degrees" class="required"></div> </div> </div> <div id="tfa_76" class="section inline group"> <div class="oneField field-container-D " id="tfa_31-D"> <label id="tfa_31-L" class="label preField reqMark" for="tfa_31"><p class="MsoNormal" style="margin: 0in; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif; color: rgb(0, 0, 0);"><span style="text-indent: -0.25in; font-weight: 700;"><span style="color: black; font-size: 12pt;">Why should this person be considered for recognition?  Please provide specific examples based on the criteria for </span></span><span style="text-indent: -0.25in; color: black; font-size: 14.6667px;"><a href="https://www.hivma.org/about-us/awards_recognition/awards-recognition/" style="color: rgb(5, 99, 193); text-decoration-line: underline;"><span style="font-weight: 700;"><span style="font-size: 12pt;"></span></span></a><span style="font-weight: 700;"><a href="https://www.hivma.org/about-us/awards_recognition/awards-recognition/" target="_blank">the award</a></span></span><span style="text-indent: -0.25in; font-weight: 700;"><span style="color: black; font-size: 12pt;"> they are being nominated. (400 word limit)</span></span></p></label><br><div class="inputWrapper"><textarea aria-required="true" id="tfa_31" name="tfa_31" title="Why should this person be considered for recognition? Please provide specific examples based on the criteria for the award they are being nominated. (400 word limit)" class="required"></textarea></div> </div> <div class="htmlSection" id="tfa_75"><div class="htmlContent" id="tfa_75-HTML"><p class="MsoListParagraphCxSpFirst" style="margin: 0in 0in 0in 0.5in; vertical-align: top; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif; color: rgb(0, 0, 0);"><a style="vertical-align: top;"><span style="vertical-align: top; color: black; font-size: 12pt;"><i style="vertical-align: top;">Please note:</i></span></a></p><p class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0in 0.5in; vertical-align: top; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif; color: rgb(0, 0, 0);"><span style="vertical-align: top; color: black; font-size: 12pt;"><i style="vertical-align: top;"> </i></span></p><p class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0in 0.5in; vertical-align: top; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif; color: rgb(0, 0, 0);"><span style="vertical-align: top; color: black; font-size: 12pt;"><i style="vertical-align: top;"><span style="font-weight: 700; vertical-align: top;">The Innovator Award</span> is for early to mid-career members (45 years of age or younger <u style="">OR</u> achieved no higher than associate professor) and nominees will be evaluated based on innovation and originality in advancing independent research and productivity, HIV clinical care, provide education or advocacy.</i></span></p><p class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0in 0.5in; vertical-align: top; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif; color: rgb(0, 0, 0);"><span style="vertical-align: top; color: black; font-size: 12pt;"><i style="vertical-align: top;"> </i></span></p><p class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0in 0.5in; vertical-align: top; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif; color: rgb(0, 0, 0);"><i style="vertical-align: top;"><span style="vertical-align: top; color: black; font-size: 12pt;"><span style="font-weight: 700; vertical-align: top;">T</span><span style="font-weight: 700; vertical-align: top;">he Transformative Leader Award </span>will be evaluated based on </span><span style="vertical-align: top; color: rgb(54, 54, 54); font-family: "Nunito Sans"; font-size: 14.6667px; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">overall achievement and contributions to HIV clinical care, provide education, research or advocacy that transcend a single institution and that have impacted patient care within a city, region, state or nationally.</span><span style="vertical-align: top; color: black; font-size: 12pt;"></span></i></p><p class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0in 0.5in; vertical-align: top; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif; color: rgb(0, 0, 0);"><span style="vertical-align: top; color: black; font-size: 12pt;"><i style="vertical-align: top;"><br style="vertical-align: top;"><span style="font-weight: 700; vertical-align: top;">The Adaora Adimora Citation Award  </span>nominees will be evaluated based on service or contributions to HIVMA or to ending HIV as an epidemic through social justice and public service and may be used to recognize extraordinary acts by individuals who are not members.</i></span></p></div></div> </div> <div class="oneField field-container-D " id="tfa_32-D"> <label id="tfa_32-L" class="label preField " for="tfa_32"><span style="font-size: 14.6667px; font-weight: 700; text-indent: -24px;">Please share any additional information in support of the nomination for consideration by the HIVMA Awards Committee.</span></label><br><div class="inputWrapper"><textarea id="tfa_32" name="tfa_32" data-condition="`#tfa_9`" title="Please share any additional information in support of the nomination for consideration by the HIVMA Awards Committee." class=""></textarea></div> </div> </div> <div class="oneField field-container-D " id="tfa_33-D"> <label id="tfa_33-L" class="label preField reqMark" for="tfa_33"><b style="color: rgb(0, 0, 0); font-size: medium;"><span style="font-size: 12pt; line-height: 17.12px; font-family: "Nunito Sans"; color: black;">Nominee CV</span></b><span style="color: rgb(0, 0, 0); font-size: medium;"></span></label><br><div class="inputWrapper"><input type="file" aria-required="true" id="tfa_33" name="tfa_33" size="" data-condition="`#tfa_9`" title="Nominee CV" class="required"></div> </div> <div class="oneField field-container-D " id="tfa_34-D"> <label id="tfa_34-L" class="label preField " for="tfa_34"><p class="MsoNormal" style="margin: 0in; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif; color: rgb(0, 0, 0); background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;"><b><span style="font-size: 12pt; font-family: "Nunito Sans"; color: black;">Nominee Biosketch (optional)</span></b></p></label><br><div class="inputWrapper"><input type="file" id="tfa_34" name="tfa_34" size="" data-condition="`#tfa_9`" title="Nominee Biosketch (optional)" class=""></div> </div> </div></div> <div class="wfPage" id="wfPgIndex-4"><div class="section pageSection" id="tfa_15"><div id="tfa_77" class="section group" data-condition="`#tfa_9`"> <label class="label preField" id="tfa_77-L"><b>Additional Nominating Statements</b></label><br><div class="htmlSection" id="tfa_49"><div class="htmlContent" id="tfa_49-HTML"><span style="font-family: Montserrat; font-size: 14.6667px;">All secondary nominations must be included on this page.  If you do not have your statement from the seconding nominator, you may save the form and return.</span></div></div> <div id="tfa_78" class="section group"> <label class="label preField" id="tfa_78-L"><b>Secondary Nominator Information</b></label><br><div id="tfa_83" class="section inline group"> <div class="oneField field-container-D " id="tfa_41-D"> <label id="tfa_41-L" class="label preField reqMark" for="tfa_41"><span style="color: black; font-size: 12pt; line-height: 17.12px; font-family: Calibri, sans-serif;">Secondary Nominator Full Name</span><span style="color: rgb(0, 0, 0); font-size: medium;"></span> </label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_41" name="tfa_41" value="" title="Secondary Nominator Full Name " class="required"></div> </div> <div class="oneField field-container-D " id="tfa_42-D"> <label id="tfa_42-L" class="label preField reqMark" for="tfa_42"><p class="MsoNormal" style="margin: 0in; line-height: normal; font-size: 11pt; font-family: Calibri, sans-serif; color: rgb(0, 0, 0); background: white;"><span style="font-size: 12pt;">Secondary Nominator Email</span></p> </label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_42" name="tfa_42" value="" title="Secondary Nominator Email " class="validate-email required"></div> </div> </div> <div id="tfa_82" class="section inline group"> <div class="oneField field-container-D " id="tfa_64-D"> <label id="tfa_64-L" class="label preField " for="tfa_64"><span style="color: rgb(0, 0, 0); font-size: medium;"><span style="font-size: 11pt; line-height: 15.6933px; font-family: Montserrat; color: rgb(81, 94, 89);">Degrees</span></span><span style="color: rgb(0, 0, 0); font-size: medium;"></span></label><br><div class="inputWrapper"><input type="text" id="tfa_64" name="tfa_64" value="" title="Degrees" class=""></div> </div> <div class="oneField field-container-D " id="tfa_81-D"> <label id="tfa_81-L" class="label preField " for="tfa_81">Relationship to Nominee</label><br><div class="inputWrapper"><input type="text" id="tfa_81" name="tfa_81" value="" title="Relationship to Nominee" class=""></div> </div> </div> <div id="tfa_80" class="section inline group"> <div class="oneField field-container-D " id="tfa_48-D"> <label id="tfa_48-L" class="label preField reqMark" for="tfa_48"><span style="font-size: 16px; font-weight: 700;">Why should this person be considered for recognition? </span><span style="color: rgb(0, 0, 0); font-family: Calibri, sans-serif; font-size: 14.6667px; font-weight: 700;"><span style="color: black; font-size: 12pt;">Please provide specific examples based on the criteria for </span></span><span style="color: black; font-size: 14.6667px;"><a href="https://www.hivma.org/about-us/awards_recognition/awards-recognition/" style="color: rgb(5, 99, 193); text-decoration-line: underline;"><span style="font-size: 16px; font-weight: 700;"><span style="font-size: 12pt;"></span></span></a><span style="font-size: 16px; font-weight: 700;"><a href="https://www.hivma.org/about-us/awards_recognition/awards-recognition/" target="_blank">the award</a></span></span><span style="color: rgb(0, 0, 0); font-family: Calibri, sans-serif; font-size: 14.6667px; font-weight: 700;"><span style="color: black; font-size: 12pt;"> they are being nominated (300 word limit)</span></span></label><br><div class="inputWrapper"><textarea aria-required="true" id="tfa_48" name="tfa_48" title="Why should this person be considered for recognition? Please provide specific examples based on the criteria for the award they are being nominated (300 word limit)" class="required"></textarea></div> </div> <div id="tfa_79" class="section group"> <label class="label preField" id="tfa_79-L"><h4 style="font-size: 14.4px;">Additional Nominator Information (optional)</h4></label><br><div class="oneField field-container-D " id="tfa_60-D"> <label id="tfa_60-L" class="label preField " for="tfa_60"><span style="color: black; font-size: 12pt; line-height: 17.12px; font-family: Calibri, sans-serif;">Additional Nominator Full Name</span><span style="color: rgb(0, 0, 0); font-size: medium;"></span> </label><br><div class="inputWrapper"><input type="text" id="tfa_60" name="tfa_60" value="" title="Additional Nominator Full Name " class=""></div> </div> <div class="oneField field-container-D " id="tfa_62-D"> <label id="tfa_62-L" class="label preField " for="tfa_62"><span style="color: black; font-size: 12pt; line-height: 17.12px; font-family: Calibri, sans-serif;">Additional Nominator Full Name</span><span style="color: rgb(0, 0, 0); font-size: medium;"></span> </label><br><div class="inputWrapper"><input type="text" id="tfa_62" name="tfa_62" value="" title="Additional Nominator Full Name " class=""></div> </div> <div class="oneField field-container-D " id="tfa_44-D"> <label id="tfa_44-L" class="label preField " for="tfa_44"><span style="color: rgb(0, 0, 0); font-size: medium;"><span style="font-size: 11pt; line-height: 15.6933px; font-family: Montserrat; color: rgb(81, 94, 89);">Degrees</span></span><span style="color: rgb(0, 0, 0); font-size: medium;"></span></label><br><div class="inputWrapper"><input type="text" id="tfa_44" name="tfa_44" value="" title="Degrees" class=""></div> </div> <div class="oneField field-container-D " id="tfa_43-D"> <label id="tfa_43-L" class="label preField " for="tfa_43"><span style="color: rgb(0, 0, 0); font-size: medium;"><span style="font-size: 11pt; line-height: 15.6933px; font-family: Montserrat; color: rgb(81, 94, 89);">Relationship to Nominee</span></span><span style="color: rgb(0, 0, 0); font-size: medium;"></span></label><br><div class="inputWrapper"><input type="text" id="tfa_43" name="tfa_43" value="" title="Relationship to Nominee" class=""></div> </div> </div> <div class="oneField field-container-D " id="tfa_66-D"> <label id="tfa_66-L" class="label preField " for="tfa_66"><span style="font-size: 16px; font-weight: 700;">Why should this person be considered for recognition? </span><span style="color: rgb(0, 0, 0); font-family: Calibri, sans-serif; font-size: 14.6667px; font-weight: 700;"><span style="color: black; font-size: 12pt;">Please provide specific examples based on the criteria for </span></span><span style="color: black; font-size: 14.6667px;"><a href="https://www.hivma.org/about-us/awards_recognition/awards-recognition/" style="color: rgb(5, 99, 193); text-decoration-line: underline;"><span style="font-size: 16px; font-weight: 700;"><span style="font-size: 12pt;"></span></span></a><span style="font-size: 16px; font-weight: 700;"><a href="https://www.hivma.org/about-us/awards_recognition/awards-recognition/" target="_blank">the award</a></span></span><span style="color: rgb(0, 0, 0); font-family: Calibri, sans-serif; font-size: 14.6667px; font-weight: 700;"><span style="color: black; font-size: 12pt;"> they are being nominated (300 word limit)</span></span></label><br><div class="inputWrapper"><textarea id="tfa_66" name="tfa_66" title="Why should this person be considered for recognition? Please provide specific examples based on the criteria for the award they are being nominated (300 word limit)" class=""></textarea></div> </div> </div> </div> </div></div></div> <div class="actions" id="167-A" data-contentid="submit_button"><input type="submit" data-label="Submit" class="primaryAction" id="submit_button" value="Submit"></div> <div style="clear:both"></div> <input type="hidden" value="475-885d7007cfae5b62a65f6ed2af49df3c" name="tfa_dbCounters" id="tfa_dbCounters" autocomplete="off"><input type="hidden" value="167" name="tfa_dbFormId" id="tfa_dbFormId"><input type="hidden" value="" name="tfa_dbResponseId" id="tfa_dbResponseId"><input type="hidden" value="b3850bd250e230f96ee10205f174877e" name="tfa_dbControl" id="tfa_dbControl"><input type="hidden" value="" name="tfa_dbWorkflowSessionUuid" id="tfa_dbWorkflowSessionUuid"><input type="hidden" value="1740149625" name="tfa_dbTimeStarted" id="tfa_dbTimeStarted" autocomplete="off"><input type="hidden" value="7" name="tfa_dbVersionId" id="tfa_dbVersionId"><input type="hidden" value="" name="tfa_switchedoff" id="tfa_switchedoff"> </form> </div></div><div class="wFormFooter"><p class="supportInfo"><a target="new" class="contactInfoLink" href="https://idsa.tfaforms.net/info@hivma.org?" data-testid="contact-info-link">Contact Information</a><br></p></div> <p class="supportInfo" > </p> </div> <script id="analytics-collector-script" type="text/javascript" src="https://idsa.tfaforms.net/dist/analytics/data-collector.b669b669e4e65b402126.js" data-customer-id="135526" data-endpoint="https://analytics.formassembly.com/v1/traces" ></script> </div> <script src='https://idsa.tfaforms.net/js/iframe_message_helper_internal.js?v=2'></script> </body> </html>