Community Participation
1.
Please enter the information indicated below.

First Name:
Last Name:
Work Phone:
Email Address:
emailaddress@xyz.com
Nominee's Name:
Nominee's Address:
Nominee's Telephone:
Nominee's Email:
Submitted by- Individual or Organization:
On behalf of:

2.
All people have the fundamental, moral, civil and constitutional rights to live, learn, work, play and worship in safe and healthy communities of their choosing.  The recipient(s) of this award will have demonstrated the highest levels of commitment and work in integrating and including people with developmental disabilities into their home communities, neighborhood schools, civic associations, Chamber of Commerce, recreational activities, employment and/or faith communities.  Likewise, this award can also be given to an individual and/or organization that has worked to maintain people in community settings.
 

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