For Excellence in Service to Young Children with Disabilities and their Families
ELIGIBILITY: an individual who has had a significant impact on Early Intervention public policy development, Early Intervention practices or staff development. Priority will be given to individuals whose influence had a statewide effect.
PERSONS ELIGIBLE: Parents, Providers of Early Intervention Services, Higher Education Personnel, Public Policy Makers, Philanthropists, and Others dedicated to EI.
The following documentation should be submitted for each nominee:
1.) Attached nomination form
2.) An essay explaining why the individual is deserving of the recognition
3.) Three letters of recommendation
4.) Other forms of substantiation of accomplishments
Nomination Information AND questions should be sent to: Ms. Andrea Algatt at: firstname.lastname@example.org
By: Friday, January 20, 2012.
RON COWELL AWARD NOMINATION FORM
Name of Nominee______________________________________
Number of Years Involved in Early Intervention_______________