HDSA Awards Nomination Form 2019
Please fill in the form by Friday, February 1st, 2019. Thank you!
NOMINATOR'S CONTACT INFORMATION
Phone Number (Only to be used if HDSA needs to get in touch with the nominator regarding their nomination)
NOMINEE'S CONTACT INFORMATION
Who are you nominating?
Phone Number (if no e-mail provided)
All award descriptions can be found here:
I nominate the above person for an HDSA Award in the following category (choose only 1):
HDSA Community Partner Award
HDSA Member Award
HDSA VIP Award
HDSA Volunteer Award
HDSA Kim Pace Award
HDSA Lifetime Achievement Award
If the above person is honoured with this award, who should present it to them? (In the interest of time, we ask that only 1 person, or 1 VIP & Support Person, present the award)
I, the nominator, would be happy to present this award
The Awards Committee can decide
Describe the above nominee's service or contribution to the HDSA Community including any activities or examples to illustrate.
Describe how the nominee's contribution has benefited the lives of an individual or individuals with Down syndrome.
Describe how the nominee's leadership has helped promote the acceptance and inclusion of people with Down syndrome.
Nominators may consider including the following: (not required)
1. A photo of the nominee
2. Up to 2 testimonials from others who have benefited from the individual's contribution
3. Any other relevant documentation (photos, news articles, etc.)
If interested, you may e-mail any of the above recommended files to
Send me a copy of my responses.
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