Leadership Award Nomination

Leadership in person-centered services that lead to jobs, homes, and full community lives.

This form can be used for a customer or employee. Please complete the form below or download the printable Leadership Award PDF.

“Someone who shows leadership in the areas of employment, housing, or developing independence in others or themselves.” Please answer the following questions about the person being nominated and yourself.

All forms are Due by Monday, March 20, 2017 5:00 pm.
Fax: (812) 332-1186
Mail: Attn: Development, 200 E. Winslow Rd., Bloomington, IN 47401
Email: support@lifedesignsinc.org

Leadership Award Nomination Form

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