2021 Inclusive Community Award Nomination Form
The Peace Region International Day of Persons with Disabilities Planning Committee (formerly known as the Grande Prairie IDPD Planning Committee) has selected the theme: Not All Disabilities Are Visible.

It is a reminder that not all disabilities can be seen such as mental illness, chronic pain, diabetes, anxiety disorder, cognitive delays and so on. The 2021 Inclusive Community Award will be presented December 10, 2021 to a community member, organization, or group that has demonstrated dedication, inclusive approaches, or an innovative way to reach and offer supports to persons with disabilities.

The annual observance of the International Day of Persons with Disabilities was proclaimed in 1992 on December 3, by the United Nations General Assembly. It aims to promote the rights and well-being of persons with disabilities in all spheres of society and development, and to increase awareness of the situation of persons with disabilities in every aspect of political, social, economic and cultural life.

Deadline for nominations is December 1, 2021.

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Deadline for Nominations is December 1, 2021
The personal information provided on this form is collected under the authority of section 33(c) of the Freedom of Information and Protection of Privacy (FOIP) Act. The information will be managed in accordance with the FOIP Act and is being collected for the purpose of determining suitability for Community Inclusive Award. Please contact 780-831-1091 if you have any questions

To attend the virtual Zoom event, please click on this link to register
1. Your full name (as the Nominator) *
2. Your contact information: email address and/or phone number *
3. Nominee's full name.  This is the individual, organization, or group you wish to nominate. *
4. Their contact information: email address and/or phone number *
5.  Does the nominated individual, organization, or group know you are nominating them for this award?
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6. Reason(s) for nomination (Select all that apply)
7. Please explain why this individual, organization, or group should be considered for the Inclusive Community Award. Provide examples of their values, approaches, efforts, work, and/or dedication. If selected, this information will be used to present the award. *
A copy of your responses will be emailed to the address you provided.
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