Seeking Nominations for Ability Award 2013

Ability Award 2013 Nomination Form

Nominee Selection Criteria:

  • Leadership: Displays      ability to motivate and inspire others 
  • Advocacy: Displays      ability to advocate by championing or developing a local program, project,      or activity that partners with the disability community
  • Engagement: Participates      in development of inclusive communities
  • Empowerment: Empowers others by      sharing responsibility, authority, effort, enthusiasm, information,      vision, talent, and credit
  • Residence: Lives or works in      Allegan or Ottawa counties
  • Disability:      Lives with a disability, has a family member with a disability, or is a friend      or ally to the disability community

(Current Disability Network/Lakeshore board members and employees are not eligible for nomination.)

Information about Ability Award Nominee:

Name:

Address/City/State/ZIP:

Telephone:

Nominee’s area of interest or accomplishment:

Information about You:

Name:

Address/City/State/ZIP:

Telephone:

Email:

In one sentence, describe your reason for nominating this individual:

In 500 words or less, tell the story of the nominee’s efforts and achievements (attach separate page to this form). Please describe:  

Entry deadline: August 26, 2013 by 5 pm

Direct questions and submit entries to:

Todd Whiteman, Executive Director, Disability Network/Lakeshore

todd@dnlakeshore.org