Neubacher Award Review Form

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For more information on the criteria, see Neubacher Award Criteria. The primary criteria are:

Increasing accessibility
Advocating for or advancing rights
Attempting to eradicate systemic ableism

Please rank the nomination using the criteria below. Please note, the ranking should come solely from nomination materials. If you want to include additional information please use the Notes section, but it should not be reflected in the ranking

? -- No basis for ranking based on nomination materials
1 -- Some evidence
2 -- Good evidence (The most common response)
3 -- Strong evidence (This person is qualified to win the Neubacher Award and is one of your top 3 -5 choices.)
4 -- Exemplary evidence (This person should go on to the next round of consideration and you would like to speak on their behalf as deserving of the winner.)

Email *

Candidate Name (As it appears in your Nomination Review Form)

Accessibility: Increasing the accessibility of programs and services to promote full inclusion and participation by people with disabilities *

? -- No basis for ranking based on nomination materials

1 -- Some evidence

2 -- Good evidence (The most common response)

3 -- Strong evidence (This person is qualified to win the Neubacher Award and is one of your top 3 -5 choices.)

4 -- Exemplary evidence (This person should go on to the next round of consideration and you would like to speak on their behalf as deserving of the winner.)

Accessibility: Evidence & notes

Advocacy: Advocating for or advancing the rights of people with disabilities; and/or advocating for or advancing disability justice *

? -- No basis for ranking based on nomination materials

1 -- Some evidence

2 -- Good evidence (The most common response)

3 -- Strong evidence (This person is qualified to win the Neubacher Award and is one of your top 3 -5 choices.)

4 -- Exemplary evidence (This person should go on to the next round of consideration and you would like to speak on their behalf as deserving of the winner.)

Advocacy: Evidence & notes

Anti-ableism: Attempting to eradicate systemic ableism through community organizing and coalition building, and/or Empowering, affirming, and celebrating people with disabilities in all aspects of community life *

? -- No basis for ranking based on nomination materials

1 -- Some evidence

2 -- Good evidence (The most common response)

3 -- Strong evidence (This person is qualified to win the Neubacher Award and is one of your top 3 -5 choices.)

4 -- Exemplary evidence (This person should go on to the next round of consideration and you would like to speak on their behalf as deserving of the winner.)

Anti-ableism: Evidence & notes

Overall Notes

Overall Score : Same as ? - 4 but I left some wiggle room to allow for 2.5, 3.5, etc. *

No Basis

Best Qualified Recipient

Nomination Quote

In 2023 we included a short sentence on each nominee during the presentation slideshow. If possible, please include a sentence directly from the nomination and/or of your own choosing.

A copy of your responses will be emailed to the address you provided.

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