2019 Celebration Awards
Fore more than a decade, the Fairfield County Board of Developmental Disabilities and the Friends of Fairfield DD have celebrated the people and businesses in our community who have exemplified the mission of the Board. We are planning to do so again during the 11th Annual Celebration of Possibilities in March, 2019. Again this year, the nomination form for Celebration Awards does not require you to nominate a person or business based on a specific award. Instead we ask you to join us in nominating those who, in the past year, have helped to:

...Bring About a VIBRANT COMMUNITY Where People Lead
FULFILLING LIVES and Make MEANINGFUL CONTRIBUTIONS.

We are opening up nominations NOW, so that, as you have experiences with businesses, organizations, and people in the community, you can nominate them while their contributions are fresh in your mind. You may nominate as many people as you feel are deserving of an award. Simply fill out the attached form and return to David Uhl at Fairfield DD, duhl@fairfielddd.com. Please return your form ANYTIME, but no later than December 28th.


Should you have any questions regarding the 2019 nomination process, please contact David Uhl, 740.652.7220, or duhl@fairfielddd.com. Thank you!!!

Nomination Form
NOMINEE INFORMATION
Person or Organization being Nominated *
Your answer
Nominee Address *
Your answer
Nominee Phone *
Your answer
Nominee Place of Employment *
Your answer
The mission of Fairfield DD is to bring about a vibrant community where people lead fulfilling lives and make meaningful contributions. How has the nominee helped to promote that mission? *
Your answer
List community involvement or other activities that the nominee is involved in that also exemplifies the mission of Fairfield DD. *
Your answer
Please describe why you are nominating this person, family, or organization (feel free to submit supporting information, newspaper articles, letters of recommendation/support, etc. These additional items can be EMAILED to duhl@fairfielddd.com or sent via interoffice mail). *
Your answer
Your Name *
Your answer
Your Address *
Your answer
Your Phone *
Your answer
Your Email *
Your answer
Signature (type your name here) *
Your answer
All nominations and supporting documentation must be received by December 28th, 2018. Contact David Uhl with questions. duhl@fairfielddd.com
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