Exit

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 year's award will be presented at the Nebraska ASD State Conference in Kearney on Thursday, April 4th, 2019.

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 11:59pm on Friday, March 1st, 2019.  You will receive communication from us via the email you provided by Friday, March 16th, 2019.
 
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

Question Title

* 1. Name of Nominator

Question Title

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

Question Title

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

Question Title

* 4. Kind of Phone

Question Title

* 5. Name of Nominee

Question Title

* 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.

Question Title

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

Question Title

* 8. Electronic Signature

T