Helping Families & Professionals Connect with Information, Training and Resource Since 1969
 

Nomination For: Parent of the Year Award
Nominations are now being accepted.
Before completing our on-line form below, print and review the guidelines here.
Click here to submit a Letter of Recommendation.
Nominations are now being accepted.
Before completing a Nomination or Letter of Recommendation, print and review the guidelines here.
Click here to submit a Letter of Recommendation.
1)  Nominees Information
First and Last Name:
Home address, city,  zip code:
Home phone with area code:
Work phone with area code:
Email Address:
Name of the Indiana school where his or her child attends:
Name of school district or corporation:
2)  Nominators Information
First and Last Name:
Your title or position:
Your relationship to the nominee:
Home address, city,  zip code:
Home phone with area Ccde:
Work phone with area code:
Email address:
3)
 Tell us about the nominee and why you think he or she should receive our “Parent of the Year Award” by answering the
question below.  Try to give specific examples to help us see the nominee through your eyes.  You can write your
answers to the question on you own computer, then “cut and paste” the answers into the on-line form.
a)
 Describe in 600 words or less, how the nominee either through a professional or volunteer means, assists or supports,
and encourages other parents and/or professionals:
 
b)
 Describe in 400 words or less, how the nominee promotes an understanding and acceptance of students or young
adults with LD/ADHD within their own school system, community or on a statewide level:
 



* Home numbers and email address are required since we will be making contact during the summer.
Nominees must be a resident of Indiana.
All contact information provided will be treated with confidentially.
Thank you for completing this on-line nomination form.
If your nominee is selected, we will notify you by email.  Award winners will be sent a letter by postal mail.
All nominations not selected will receive an acknowledgement card.

Please review the information before you click on the Submit Bar to send in your nomination.
You'll receive an email notice from us in a day or two to confirm we received the nomination.
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