Award Nomination Form
The California Disability Innovation in Advocacy Award recognizes bold ideas, creative leadership, and groundbreaking programs that strengthen California’s developmental disability community. This annual award celebrates individuals, organizations, and initiatives that are expanding access, improving inclusion, and advancing meaningful change for individuals with developmental disabilities and their families. We are seeking nominations for transformative projects, programs, initiatives, or individuals at the local, regional, or statewide level who are making an impact on the lives of those in our community. If you know someone — or if you are someone — making a powerful impact, we encourage you to submit a nomination. Submission Deadline is April 30, 2026 at 6:00 p.m. (PST).
GUIDELINES:
Who are you making the nomination for?
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Yourself
Someone else
An organization or program
Your Name (the person completing the form)
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First Name
Last Name
Organization you represent (if applicable)
Your Email (the person completing the form)
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example@example.com
Your Phone Number (the person completing the form)
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Please enter a valid phone number.
Format: (000) 000-0000.
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NOMINEE INFORMATION
Name of Individual or Organization Being Nominated:
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Name of Contact Person (*If Organization):
First Name
Last Name
Email of Nominee
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example@example.com
Phone Number of Nominee
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Please enter a valid phone number.
Format: (000) 000-0000.
Address of Nominee (Individual or Organization)
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Type of Nominee
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Individual
Organization
Program
Regional Initiative
Statewide Initiative
Other
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ABOUT THE NOMINATION
Title or Name of Innovation (if applicable)
Describe the Innovation (up to 300 words). What makes this work creative, innovative, or groundbreaking? What problem does it address?
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0/300
What Community Population Does This Serve? (up to 300 words). How does it reach individuals with developmental disabilities and their families?
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0/300
What impact has this innovation had? (up to 300 words). Include measurable outcomes if available, or examples of how lives have been improved.
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0/300
How does this work advance advocacy within California’s developmental disability system? (up to 300 words).
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0/300
What timeframe was the innovation developed and implemented?
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SUSTAINABILITY AND REPLICABILITY
Is this project, program or initiative ongoing or completed?
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Ongoing
Completed
Pilot Program
Can this innovation be replicated or scalable? If so, how?
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SUPPORTING MATERIALS
Upload Supporting Documents (Photos, videos, testimonials, news articles, program materials, etc.)
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Add website or social media links below:
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FINAL CONFIRMATION
Is the nominee able to attend the DisCo at the Capitol on May 19, 2026?
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Yes
No
Unsure
I certify that the information provided is accurate to the best of my knowledge. Please sign below:
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