Inclusivity Award Nomination Form

Please give us your contact information.

Your Name (required)
Your Phone (required)
Your Address

Your Email (required)

Who are you nominating for this award?
Address of Nominee:

Telephone Number of Nominee:
Nominee's Email

Please describe the activities and include details on the accessibility for persons with disabilities.

If the activity is a festival, concert, or other public event, please provide the date the event was held and a link to the event’s website.

If the activity involves a service or activity provided by a business, please provide specific details and a link to the business website.

Please describe in detail how this business, group, or event promotes accessibility and the activity to persons with disabilities (please include specific examples and numerically quantify the level of impact or persons with disabilities served by the activity or event).