2024 MCEC Dr. Dawn R. Gallup Honor Recipient Nomination Application
Deadline: Nominations for this 59th annual MCEC Recognition must be electronically submitted by January 9, 2024 at midnight/12:00am EST. Presentation will be at the 84th Annual MCEC Conference Reception on Thursday, February 29, 2024.

Background: This award is given to recognize an individual, group, business, agency/community that has promoted and provided for the enhancement, awareness, or employment of individuals with exceptionalities in order to promote and support their full participation within the community.

Award Benefits - The Dawn R. Gallup Honor Recipient will:
• be invited to attend a special awards ceremony and celebration at the MCEC Conference;
• receive one-night accommodations at the Grand Plaza Hotel in Grand Rapids, where the recognition ceremony will be held;
• receive a plaque with inscription;
• $100 cash award;
• be featured on MCECs social media platforms; and
• be featured on CEC’s Website: www.michigancec.org.
 
Nominator: Nominations can be accepted from individuals, MCEC members and nonmembers.

Questions: If you have any questions, please email them to us at: mcec@michigancec.org  
Sign in to Google to save your progress. Learn more
Nominee/Candidate: The candidate must be an individual, private or public business or agency, or community, and meet at least one (1) of the following criteria: *
Required
Nominee/Candidate's First and Last Name:
*
Nominee/Candidate's Address (street number, street name, city, state and zip code):
*
Nominee/Candidate's Telephone Number:
*
Nominee/Candidate's Email:
*
Nominator's First and Last Name:
*
Nominator's Address (street number, street name, city, state and zip code):
*
Nominator's Telephone Number:
*
Nominator's Email:
*
Please include a written narrative outlining how the nominee meets the criteria
*
Description of the individual, group, business, agency/community nominated, including its purpose and history.
*
Email (mcec@michigancec.org) one to three letters of recommendation addressing the nominee’s efforts in meeting the criteria
*
Required
Please email (mcec@michigance.org) a high-resolution (at least 200kb) color headshot portrait of the nominee in JPG, TIFF, or EPS format.
*
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of MichiganCEC.org. Report Abuse