2019 PCDI Awards Nomination Form
The President’s Commission on Disability Issues (PCDI) established the PCDI Achievement Awards to recognize faculty, staff, students and individual units that have made outstanding contributions to the University’s equity and accessibility efforts. Please submit your nomination by March 11th, 2019. Awards will be presented at on Disability Summit on April 5th, 2019.
Nominator's Name *
Your answer
Nominator's Email Address *
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Nominator's Role *
Required
Type of Award Nomination *
Required
Name of Nominee or Unit representative *
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Email of Nominee or Unit representative *
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Phone Number of Nominee or Unit representative *
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Please provide detailed information about the nominee's contributions or accomplishments related to service to our community with disabilities, accessibility and equity. List specific examples of how the nominee met the criteria for the award. Limit response to 250-500 words.
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What impact has the nominee contributed to the disabled community and how? Please provide specific examples. Limit response to 250-500 words.
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What other individuals might comment on the contributions or accomplishments of the nominee? Please provide their name, email address, and phone number.
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Is there anything else you think the selection committee should know about the nominee? Limit response to 250-500 words.
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