Who Will You Nominate?

September 9, 2024
4:23 pm

We’re accepting nominations for Employer and Employee of the Year. Who do you choose?

Deadline is September 23, 2024

Annual Awards Nomination Form

Nomination form to recognize outstanding employers for their contributions toward hiring individuals with disabilities and celebrating individuals who have overcome barriers to succeed in the workplace.

"*" indicates required fields

2024 Award Nominations

Please indicate below if this nomination is for an Employer or an Employee.

Type of Nomination:*

Employer Nomination

Employee Nomination

Name of Nominee:*

Company:*

Address:*

City:*

Zip Code:*

Phone Number:*

Company Representative:

If this is an employee nomination, how long has the employee worked at this business?:*

Person Making This Nomination

As the person making the nomination, please complete the information below.

Your Name:*

Title:

Name of Organization:

Your Phone Number:*

REASON(S) FOR THIS NOMINATION

“Why are you nominating this business or individual?”*

(Please indicate the reason(s) you’re nominating this employer or employee)

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