The Arc Awards 2016 NOMINATION FORM

Instructions:

• Please check the appropriate category for the person you are nominating. * Persons can only be nominated once per category.*
• Complete the form with all requested information and reason for nomination.
• Deadline to submit nominations to The Arc office ‐ no later than Wednesday Sept. 7, 2016!

(The Arc Awards Reception will be at Gaston College Myers Auditorium on Saturday, September 17, 2016 at 6:00pm)

Name of Nominee

Nominee's Address

Nominee's Phone Number

Agency/School/Business/Employer nominee is affiliated with

Your Name *

Your E-mail

Choose a Category

Arc Volunteer of the Year: To honor an individual who gives generously of their time and talents to benefit people with developmental disabilities

Arc Teacher of the Year: To honor a classroom teacher who has demonstrated excellence in teaching students with developmental disabilities.

Arc Professional Employee of the Year: To honor an individual who is employed for direct or indirect service to persons with developmental disabilities; whose contribution of time, energy, and creativity has improved the quality of life for individuals served by the nominee (i.e. job coach, community rehabilitation staff, group home staff, teacher’s assistant, respite care provider, school administrator, case manager, social worker)

Arc Business Partnership Award: To honor a business that has partnered with The Arc to promote the organization or a program that enhances the lives of individuals with developmental disabilities through significant contributions of support, time, or service.

Arc Distinguished Service Award: To honor an individual or volunteer organization which has performed an outstanding service on behalf of The Arc and people with developmental disabilities.

Arc Citizenship Award: To honor an individual with developmental disabilities for outstanding participation in or contributing to the community.

Arc Sibling of the Year: To honor a sibling of a person with developmental disabilities for their participation, support, and dedicated service for their brother/sister.

Arc Pioneer Award: To honor an individual or business who has pioneered new opportunities for people with developmental disabilities.

Please list the reasons for your nomination.

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