Champion Award Nomination Form
Nominee's First and Last Name *
Your answer
Nominee's Area
Example: Area 6
Your answer
Nominee's Full Address - if known
Example: 123 Main Street, Columbia, SC 29206
Your answer
Nominee's Primary Phone Number
Include Area Code
Your answer
How has this person supported the mission of Special Olympics? *
Your answer
How has this person advocated for persons with intellectual disabilities? *
Your answer
What opportunities or events has this person supported to advance the mission of Special Olympics or services to individuals with intellectual disabilities? *
Your answer
How does this person’s action help sustain the local program and Special Olympics South Carolina? *
Your answer
What efforts, service and /or duties has the nominee performed that demonstrate his/her knowledge of Special Olympics South Carolina? *
Your answer
Describe the professional attributes of the nominee and why you think his/her performance exemplifies the following characteristic: Positive attitude, Courage, Courtesy, Demonstrated team spirit, Consistency in going the extra mile. *
Your answer
Submitted by: *
Include your First and Last Name
Your answer
Your Primary Phone Number *
Include Area Code
Your answer
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