Award Nomination Form

Nominations must be received by March 31, 2021.
All nominations are confidential; the person making the nomination will not be revealed unless the nominee is selected to receive the award.
At least one (1) letter of support must be submitted by someone other than the nominator. Multiple letters of support and/or other independent documentation of the nominee’s accomplishments will significantly strengthen the nomination.
The selection committee reserves the right to change the category of any nomination in order to better match the nomination criteria.
Nominators will be notified if their nominee is selected for the award to coordinate notification to the award winner with The Arc Oregon.
This year, award nominators and recipients may be asked to pre-record a message, with the support of our team, to be aired live at the awards ceremony.

Awards

Educator of the Year
Employer of the Year
Good Neighbor of the Year
Youth of the Year
Volunteer of the Year
Sarolty Nagy Award: Self-Advocate of the Year
Al Soenneker Award: Professional of the Year
Sylvia Mann Capper Memorial Award: Statewide Impact in the I/DD Field

Award Category *

Nominee Information

Nominee's Name *

Name of company being nominated. Enter the contact person's name below.

Nominee's Name *

First Name

Last *

Last Name

Address *

Address

City

State/Province

Zip/Postal

Primary Phone Number *

Alternate Phone Number

Employer

Job Title

Nominator Information

Name *

First Name

Last *

Last Name

Relationship to Nominee *

Organization / Agency

If nomination is being made by the organization rather than an individual person

Job Title

Address *

Address

City

State/Province

Zip/Postal

Primary Phone Number *

Alternate Phone Number

Email *

Nomination

Tell us why you are nominating this person or organization for this award. Please be specific and provide examples of their impact. *

You may submit up to 5 supporting documents such as letters of support, work samples, newspaper articles or other items to support their nomination. You MUST submit at least one (1) letter of support from someone other than you. *

Maximum upload size: 10MB

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2021 Virtual
State Convention

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Awards

Nominee Information

Nominator Information

Nomination

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Phone/Fax

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2021 VirtualState Convention

Adapt. Grow. Thrive.

Awards

Nominee Information

Nominator Information

Nomination

Connect with us!

Address

Phone/Fax

Directory

Social

Contact Us

2021 Virtual
State Convention