May 2019 - Spotlight Award Nomination Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Do you know a QIDP or case manager that consistently goes above and beyond – someone who deserves a little extra recognition for a job well done? If so, please nominate them for NAQs Spotlight Award. The Spotlight Award gives supervisors and co-workers the opportunity to acknowledge those professionals who make a positive impact in the disability field by providing exceptional supports to the people they serve.

Nominee Information

Please complete the following information for the person whom you are nominating.

Name *

Title *

Employer *

Email Address *

Phone Number *

Mailing Address *

Nomination Form

Please answer the each of the following questions with detailed responses. The more specific information we receive, the better we are able to identify and select an award recipient.

How has this person positively impacted or advanced the field of ID/DD and/or the lives of the people he/she supports? *

Describe how the nominee has exceeded the expectations of someone in a QIDP role. *

Nomination Submitted By

Name *

Title *

Organization *

Email Address *

Phone Number *

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms