Paula F. Goldberg Champions for Children with Disabilities Award
2026 Nomination Form

Please fill out this form in full and click DONE to submit.

All nominations are due by March 6, 2026.

Question Title

* 1. Submitter's contact information:

Your full name *

Affiliation or relationship with the person you are nominating.

Your email address *

Your phone number *

Question Title

* 2. Nominee information. (Nominee must live in the United States. You may nominate an individual or a group.)

Full name of your nominee.

If applicable, list the name of the organization they work with that makes them a champion for children with disabilities (such as Special Olympics, public school, or a non-profit serving children). If not applicable, enter "None."

City and state where your nominee lives.

Question Title

* 3. Please describe how your nominee exemplifies visionary leadership and tenacious advocacy, and what makes them a role model. Include examples of the nominee's past or potential impact and contributions to children with disabilities. (2,000 character limit)

Paula F. Goldberg Champions for Children with Disabilities Award
2026 Nomination Form

Question Title

* 1. Submitter's contact information:

Question Title

* 2. Nominee information. (Nominee must live in the United States. You may nominate an individual or a group.)

Question Title

* 3. Please describe how your nominee exemplifies visionary leadership and tenacious advocacy, and what makes them a role model. Include examples of the nominee's past or potential impact and contributions to children with disabilities. (2,000 character limit)

Question Title

* 4. Tell us what, if any, additional information you would like the committee to consider. (2,000 character limit)

Question Title

* 5. Please share any questions you have.

Paula F. Goldberg Champions for Children with Disabilities Award2026 Nomination Form

Question Title

* 1. Submitter's contact information:

Question Title

* 2. Nominee information. (Nominee must live in the United States. You may nominate an individual or a group.)

Question Title

* 3. Please describe how your nominee exemplifies visionary leadership and tenacious advocacy, and what makes them a role model. Include examples of the nominee's past or potential impact and contributions to children with disabilities. (2,000 character limit)

Question Title

* 4. Tell us what, if any, additional information you would like the committee to consider. (2,000 character limit)

Question Title

* 5. Please share any questions you have.

Paula F. Goldberg Champions for Children with Disabilities Award
2026 Nomination Form