2019 Self-Advocate of the Year Award Nomination Form

Congratulations! You have been nominated for the 2019 Self-Advocate of the Year Award! Please complete the form by 5:00 pm on October 7, 2019 to finalize your nomination.

In celebration of our 25th Anniversary, The Unicorn Children’s Foundation is excited to announce the 2019 Community Inclusion Awards! This will be the largest celebration of people with special needs and those who provide services and supports to enrich their lives. Awards for 15 categories will be presented at a special ceremony and luncheon beginning at 11:30 am at Boca West Country Club on Friday, November 22, 2019. We can't wait to celebrate the actions and impact being made in by local leaders, service providers and advocates.

Three finalists will be selected in each category by a panel of judges. An organization/individual will only be named a finalist in one category. Finalists will be revealed at a VIP Announcement Party on October 24, 2019 from 6:00-8:00 pm at the Wyndham Deerfield Beach Resort. All of the finalists will receive publicity via press releases and social media activity. All nominees will be eligible for the Community Choice Award. Community Choice Award recipient will be determined by on-line voting following the VIP Announcement Party through November 15, 2019.

Application instructions and required attachments

All questions for the award category must be completed in full. Please answer each question fully, but succinctly.
Really tell the story and share the passion of why you/your organization should be an honoree.
Our panel of judges will score nominations based solely on information provided in the nomination application package.
Please send your logo with your application in 300dpi jpeg format.
If you have any questions, please contact Unicorn Children’s Foundation at (561) 620-9377 or info@unicornchildrensfoundation.org.

2019 Self-Advocate of the Year Award

This award honors an individual who has special needs that knows when and how to approach others to negotiate desired goals, builds mutual understanding and trust, and achieves fulfillment and productivity. This self-advocate discloses information about their strengths, interests and challenges to reach the goal of better mutual understanding.

Nominee Information

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Nominee Name *

First

Last

Name of Organization/Company (If applicable) *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Website *

Nominee Email *

Nominee Phone Number *

1. How do you demonstrate the ability to promote for an improvement that benefits not only yourself, but the special needs community-at-large? *

2. How do you practice advocacy that not only brings awareness to special needs, but also introduces the concept of acceptance and the belief in autonomy? *

3. How do you interact with a variety of individuals and groups associated with special needs? Are you able to influence said groups to advocate for change that continues to support the ideas of awareness, acceptance, and autonomy for individuals with special needs? *

4. Provide examples of how you foresee opportunities to promote inclusive opportunities through the efforts of self-advocacy and advocacy? *

5. Describe a unique barrier/challenge you had to overcome to improve the inclusion of yourself or others? *

6. Please provide an example of when you successfully self-advocated and the impact that was made. *

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2019 Self-Advocate of the Year Award

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