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Community Impact Award Nomination

The DSCBA would like to recognize community members who inspire us with their dedicated and exemplary service to individuals with Down syndrome and their families. Do you know of an educator, physician, employer, therapist, bus driver, para/aide or other service provider that is going above and beyond? If so, nominate them!

Your Information

Please fill in your contact information.

* required field

Person Nominating *
Email Address *
Phone Number *
Child/Adult with Down syndrome if applicable

Your Nominee

Please answer the following questions about the individual you are nominating.

Title (Teacher, Doctor, Bus Driver, Para/Aide etc.) *
Full Name *
Email Address *
Phone Number
Mailing Address *
Describe the impact your nominee has made. *