2024 Spectrum Award Submission

I hereby nominate:

Name*

First Last

Phone*

Nominee's Email*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name*

First Last

Phone*

Nominator's Email*

Please include answers for the following questions to highlight your nominee’s activities, contributions or achievements:

What is your relationship to the nominee?*

In what role(s) or area(s) has the nominee excelled?*

List any roles nominee has held, in which they have excelled.

Share specific examples of your nominee's activity, contribution or achievement?*

Why is the nominee's activity, contribution or achievement worthy of recognition?*

What impact has the nominee's contribution had on the community of people on the spectrum?*

What challenges has the nominee had to overcome?*

Over what period has the nominee made a contribution?*

Name

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