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Do you know someone who demonstrates remarkable advocacy for an individual or group of individuals with autism spectrum disorders? Nominate them for the Autism Society of Nebraska's Autism Advocate of the Year Award! 
This award will be presented at the NE ASD Network Conference at the Thursday evening dinner event at the Younes Conference Center-North in Kearney Nebraska April 7th, 2022.

Please read the following carefully and complete the application.

Requirements:
-  The nominee must live in the state of Nebraska

The application must be submitted by 11:59 pm on Tuesday, March 1st, 2022.  You will receive communication from us via the email you provided by Tuesday, March 8th, 2022.
 
Awards are granted at the discretion of the Board of Directors of the Autism Society of Nebraska. Awards are based on eligibility and strength of references. Any deviation of criterion or process is at the discretion of Autism Society of Nebraska Board of Directors and will require a majority vote. Erroneous or incomplete applications may negate award. Completion and submission of the application to meet the listed requirements and deadlines is entirely the responsibility of the nominator. 

Any questions should be directed to the Autism Society of Nebraska at
1-800-580-9279 or autismsociety@autismnebraska.org

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* 1. Name of Nominator

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* 2. Nominator's Email (this is how you'll be notified)

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* 3. Nominator's Primary Phone Number (xxx-xxx-xxxx)

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* 4. Kind of Phone

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* 5. Name of Nominee

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* 6. Essay: Tell us about how the nominee exhibits the following qualities as an advocate (limit 500 words):
Commitment - Has consistently advocated for an individual or group of individuals on the autism spectrum and is committed to promoting autism awareness and advocacy.
Inspiration - Displays positive interactions with individuals or groups and influences others to advocate and spread awareness and acceptance of individuals with autism.
Vision - Has the ability to see opportunities to help through advocacy and awareness.
Initiative - Learns and takes the steps necessary to use resources and information to advocate for an individual or group of individuals with autism spectrum disorders.

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* 7. I've read the above guidelines and agree to the terms.

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* 8. Electronic Signature

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