Champion of Inclusion Award

This award honors an individual/organization that embodies excellence, integrity and passion in providing support/services to the Palm Beach County special needs community. The nominee will demonstrate:

Exceptional overall impact on the community and the lives of those it serves
Surpasses all others in their commitment to serving the special needs community
Demonstrates servant leadership qualities and encourages the same in others

Fill out the form below or click here to download.

Nominee Information

* Indicates required field

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 *

Nominator Information

Name *

First

Last

Title *

Name of Organization/Company (If applicable): *

Phone Number *

Email *

Relationship to Nominee: *

Please answer each question.

1. How is the individual, organization or company serving/supporting the Palm Beach County special needs community? How do they stand-out amongst others who provide similar support/services? *

2. How does the individual, organization or company measure/monitor success? What are some of the documented key outcomes of the service/support being provided to the community? What impact is being made? *

3. What sort of collaboration or partnerships is the individual, organization or company engaged in? How is the community made aware of the opportunities for service and support that are being offered? *

4. Please describe any unique barriers/hurdles that the individual, organization or company overcame in order to provide services and support to the special needs community. *

5. How do you advocate for inclusive opportunities for individuals with special needs? *

Upload your logo with your application in 300dpi jpeg format *

Max file size: 20MB

Submit