Self-Advocate of the Year Nomination

DSAMT Self-Advocate of the Year

DSAMT's Self-Advocate of the Year Award was created to recognize and honor an individual with Down syndrome age 16 or older who through their everyday living and activities is a role model for others and exemplifies the values of DSAMT. The Self-Advocate of the Year receives recognition at the Nashville Buddy Walk® and is a spokesperson for DSAMT throughout the year, participating in numerous engagements and advocacy events. They and a parent/caregiver will also meet legislators and advocate for legislation that specifically impacts individuals with Down syndrome.

To nominate your candidate please complete the questions below before October 15th each year. Nominations will be reviewed by the Board of Directors of DSAMT, and the winner will be notified and recognized at the annual Nashville Buddy Walk®.

Question Title

* 1. Please answer the following information about the Self-Advocate

Nominee Name: *

Nominee Address:

City/Town:

State:

ZIP:

Nominee Email Address: *

Nominee Phone Number: *

Question Title

* 2. Please answer the following information about the parent/caregiver

Name:

Address:

City/Town:

State:

ZIP:

Relationship to Nominee

Email Address:

Phone Number:

Question Title

* 3. Short essay describing why the Self-Advocate is deserving of this recognition. Suggestions include stories/examples of the self-advocate's activities and involvement in community, DSAMT, and interest in advocacy, etc.