UM-NSU CARD Annual Service Awards Nomination Form

NOMINATION GUIDELINES

Answer the following questions (based on the category submitted). Describe the services, achievements and contributions of this candidate which led to your placing his/her name in nomination. Please be as specific as possible in your response.

Questions for Outstanding Clinician Award

  1. What are the candidate’s special accomplishments in the development and/or implementation of services benefiting individuals with ASD and related disabilities?
  2. How does the candidate demonstrate special caring and commitment for individuals with ASD and related disabilities?

Questions for Outstanding Educator Award

  1. What are the candidate’s special achievements and skills in the implementation of programs and services benefiting students with ASD and related disabilities?
  2. How does the candidate demonstrative innovation in implementing programs and services to meet the special needs of children or adults with ASD and related disabilities?
  3. How does the candidate demonstrate special caring and commitment for individuals with ASD and related disabilities?

Questions for Community Service Award

  1. How does the candidate demonstrate special caring and commitment for the children and adults with ASD and related disabilities?
  2. How does the candidate’s contribution benefit individuals with ASD and related disabilities?
  3. How does the candidate’s contribution benefit our community?

Questions for Student Volunteer of the Year

  1. How does the candidate demonstrate special caring and commitment for children and/or adults with ASD and related disabilities?
  2. How does the candidate demonstrate commitment and special contributions to our community?

I would like to nominate:

Outstanding Clinician of the Year
Outstanding Educator of the Year
Outstanding Community Service Award
Student Volunteer of the Year


Need to contact the nominee?

Please use the following information:


(ex: 321-555-5555)


Need to contact me?

Please use the following information:

Name:

(ex: 321-555-5555)


Please describe in detail the situation(s), service(s), achievement(s) and contribution(s) of this candidate that prompted you to nominate this individual.

 

Annual Service Awards Nomination Form
Link to Calendar of EventsLink to Visitors' ForumLink to Directors' Blog