Disability Awareness Award Nomination Form

Award winners will be recognized at the Chandler City Council Meeting on February 20, 2025.

Nominee Information

Which Nomination Are You Submitting?

Nominee First Name

Nominee Last Name

Nominee School or Business Name

Nominee Parent/Guardian Name (if under 18)

Is the nominee a Chandler resident?

Yes

If nominating a business, is the business in Chandler?

Yes

Nominee Phone Number

Nominee Email

List of Achievements/Services

Describe why this person or business is being nominated, be sure to include challenges this individual may have overcome, or initiatives that demonstrate the nominee’s commitment to raising disability awareness.

(Cite examples of achievement/services.)

Explain how the nominee's work has positively impacted the disability community.

Supplemental Pages

(Up to four pages of supplemental materials (8 1/2 x 11) may be submitted; supplemental pages are defined as news articles, photos, drawings, etc. which enhance understanding of the nomination.)
Upload requirements

Is nominee aware of his/her nomination?

Yes

Nominator Information

Nominator First Name

Nominator Last Name

Nominator Phone Number

Nominator Email

Relationship to the Nominee

Additional Comments

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Disability Awareness Award Nomination Form

Nominee Information

List of Achievements/Services

Nominator Information