Foundation Award Nomination

Foundation for new initiatives and continued growth.

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

“Someone who exemplifies the qualities that foster independence and community integration: teaching, advocating, and networking.” 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