Ken Schipper Autism Acceptance Award Nomination Form 2026

1

Nominee NamePlease provide the name of the person you would like to nominate for the award.

First Name

Last Name

2

Your NamePlease provide your name

First Name

Last Name

3

Your Phone NumberPlease provide your phone number so we can contact you if the person you nominated is selected.

Please enter a valid phone number.

4

Why are you nominating this person?Share how the nominee helps to promote autism acceptance in the school or community. Tell us why they deserve to be recognized; please be as specific as possible.