Virtual Awards Nomination Form

Nominations are closed. Thank you for your interest.

Name of award(Required)
Nominee's name(Required)
First Last
Nominee's address(Required)
Street Address City State ZIP Code
Nominee's email
Nominee's phone(Required)
NOTE FOR EMPLOYEE AWARDS-Supervisors must approve that the nomination is being submitted. Please indicate the supervisor who has approved this nomination be submitted:
Supervisor:
Supervisor's Email Address:
Nominee's qualifications (300 words or less); may be written in bullet or paragraph form.(Required)
Attach an additional page if necessary. Nominations should include: • specific reasons as to why you believe the individual or organization deserves the award • examples of why the nominee meets the specific criteria described for the award • how the nominee’s actions align with The Arc’s mission, vision, values, or guiding principles • other references if needed for further information on the nominee
Nominee's Qualifications (additional page upload)
Max. file size: 32 MB.
8MB Upload Limit
Nominator name(Required)
Nominator email(Required)
Phone
This field is for validation purposes and should be left unchanged.