CARE Awards Nomination Form

RICHLAND NEWHOPE/RICHLAND CO. BOARD OF DEVELOPMENTAL DISABILITIES

Richland Newhope is now accepting nominations for our CARE Awards. There are several opportunities for you to recognize outstanding direct service professionals and others in our community who support individuals with developmental disabilities in Richland County. Winners will be honored at our annual banquet on May 4, 2018.

DEADLINE FOR SUBMISSION IS MARCH 7, 2018

Please consider the following qualities when deciding who to nominate:

Compassion – someone who exhibits kindness toward someone with a developmental disability.
Advocacy – someone who has been an effective spokesperson for an individual with a developmental disability and promotes positive awareness in the community.
Respect – someone who provides and promotes the treatment of persons with disabilities with respect and dignity.
Excellence – someone who goes above and beyond to support those with disabilities.

Tell us about yourself:

Your Name:

Your Mailing Address:

Your Phone #:

Your Email Address:

Tell us about the person you would like to nominate:

Name of Person Nominated:

Nominee’s Job Title:

Nominee’s Mailing Address:

Nominee’s Phone #:

Nominee’s Email Address:

CARE Award Categories: (Hover over the text below for a description of each award.) Hero with Heart AwardDirect Support Professional AwardSelf-Advocate AwardCommunity Partner Award

Why is this person deserving of this award? (Please give examples and be as detailed as possible. Copies of additional supporting materials – newspaper, articles, photos, etc. – can be mailed to CARE Awards, 314 Cleveland Ave., Mansfield, OH 44902)