Nomination Form


Nominations for the World Ability Awards Gala are now open.  If you know of any individual or organization that is deserving of one of our awards, please submit your nomination now.

Nominations closing date has been extended.  The World Ability Awards Gala date and venue will be posted on this website.  Please check back frequently.

 
 
1. NOMINATOR:
Name:
Company/Organization:
Phone:
Email:
Check here if you wish to remain anonymous
 
2. NOMINEE:
The nominee is an: Individual Organization
Name:
Company/Organization:
Address:
City:
State: Zip:
Phone:
Email:
 
3. NOMINEE CONTACT PERSON, if known:
Name:
Company/Organization:
Address:
City:
State: Zip:
Phone:
Email:
In which of the following categories do you feel your nominee should earn an award?
Categories
Communications Award Community Program
Employer Fund
Hospital or Rehabilitation Facility Housing or Residence
Individual Individual In A Supporting Role
Organization Organization In A Supporting Role
Product or Technology Publication or Website
Research Transportation
Educational Inspirational
Legendary Transformational
Use this area to provide any additional information/comments on why you feel the nominee is deserving of this award.