March 2019 - Spotlight Award Nomination Form
Do you know a QIDP or case manager that consistently goes above and beyond – someone who deserves a little extra recognition for a job well done? If so, please nominate them for NAQs Spotlight Award. The Spotlight Award gives supervisors and co-workers the opportunity to acknowledge those professionals who make a positive impact in the disability field by providing exceptional supports to the people they serve.
Nominee Information
Please complete the following information for the person whom you are nominating.
Name *
Your answer
Title *
Your answer
Employer *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Mailing Address *
Your answer
Nomination Form
Please answer the each of the following questions with detailed responses. The more specific information we receive, the better we are able to identify and select an award recipient.
How has this person positively impacted or advanced the field of ID/DD and/or the lives of the people he/she supports? *
Your answer
Describe how the nominee has exceeded the expectations of someone in a QIDP role. *
Your answer
Nomination Submitted By
Name *
Your answer
Title *
Your answer
Organization *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
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