Spirit Award - Member Nomination
The Spirit Award honors a Mainstream Living member who has demonstrated dedication or passion for self-advocacy or peer advocacy. This award recognizes those who have made a contribution to improving the lives of individuals with disabilities or behavioral health needs by empowering others to find their voices and/or advocate for their own needs.
Email *
Member First and Last Name *
Please explain why the member named above is deserving of this award. Be as detailed as possible. 
*
Person Submitting Nomination (First and Last Name)
*
Email of Person Submitting Nomination
*
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Mainstream Living, Inc..

Does this form look suspicious? Report