Nomination Form

The mission of Fairfield DD is to bring about a vibrant community where people lead lives of greater independence and make meaningful contributions. 

As a mission driven organization, we would like to highlight and honor staff who have exemplified the mission by using one or more of our of the values of Fairfield DD.  Nominations can be made by anyone part of Fairfield DD or in the community of Fairfield County. 

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* 1. Nominated staff name and role

The following values play vital roles in living our mission:

Fiscal Responsibility: Making wise decisions about the use of available resources and exploring alternative options.

Collaboration: Working together to move others into valued social roles and achieving greater independence.  Showing appreciation for others’ work.

Innovation: Looking for creative solutions that recognize the value of others, including the people we support, and not just continuing to repeat past practices.

Empowering Others: Investing in people so they can reach their potential and become more independent.

Creating a Brand of Excellence: Striving to make excellence the minimum standard of work performance.

Accountability: Holding ourselves and others accountable to meet deadlines, requirements, and expectations.

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* 2. Please select the value the staff member has demonstrated.

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* 3. Please give specific examples to explain how the work or actions of the nominee demonstrates the value selected above.

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* 4. Your Name

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