Technical note: This form requires a current web browser. Please use Google Chrome or Firefox for the best experience.


Innovative Impact Award 2025

Submission Form

Note: You can submit multiple innovative practices, but please submit only one practice per form.

Primary Contact





Would you like to add an additional contact to your application?
If yes, please add contact below:





CEO or Senior Executive




Innovative Program Information







Conflict of Interest Statements
The applicant agrees that they have read and understand the following conflicts of interest statements:
  • Award applications do not confer, impart, or guarantee positively or negatively on any current or future accreditation decision.
  • Applications representing more than one organization need to have the consent of all applicable parties.
  • Organizational applicants that permit research with service recipients are in accordance with applicable legal requirements.
Terms and Conditions
The applicant agrees that they have read and understand the terms and conditions as outlined on the award website