Accessibility Awards Nomination Form

The Chatham-Kent Accessibility Advisory Committee, the Municipality of Chatham-Kent and Chatham-Kent Council are calling for nominations for this year's annual Accessibility Advisory Committee Awards.

Members of the community are invited to nominate a business or an individual they feel should be recognized.

The deadline for receipt of nomination forms is Wednesday, May 15, 2024.

Your Name (Nominator)

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Address

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Phone

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Name of Nominee (Business or Community Group)

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Nominee Address

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Nominee Phone

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Which award are you nominating the business or individual for?

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Sid Ebare Perseverance Award - presented to an individual who stands out as a person who perseveres beyond their limitations to participate in community life

Sheila Lindsey Powers Accessibility Advocate Award - presented to an individual in this community who stands out as an advocate for the inclusion of people of all abilities

Dr. Veronica Vaughn Accessible Business Award - presented to a business that stands out as providing an accessible facility and/or accessible customer service

Why do you feel this person/business would be a good candidate to consider for a Chatham-Kent Accessibility Award?

* required

What has this person/business accomplished in the past to work towards a barrier-free Chatham-Kent?

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10.

Any additional supporting information?