Funded with the assistance of Alberta Canada 150 grant, Alberta Culture & Tourism

“WE ALL BELONG” THOSE WHO MADE A DIFFERENCE -150 YEAR HISTORY OF INCLUSION IN ALBERTA, NOMINATION FORM

NOMINEES NEEDED!THOSE WHO HAVE IMPACTED COMMUNITY INCLUSION PRACTICES FOR

PERSONS WITH DISABILITIES, IN ALBERTA Selected Nominees will be featured in a book and need to be willing to

participate in a short interview and be photographed

BACKGROUNDIn Celebration of Canada’s 150th Anniversary, Foothills Special Needs Association for Parents and Siblings (FSNAPS), is creating a beautiful coffee table book, with e-versions, celebrating 150 years of the progress towards inclusion in Alberta. Photographs will be the main point with short interviews and commentaries about pioneering and/or outstanding individuals or groups who have furthered inclusion practices to become an increasing reality in our wonderful province. Our goal is to celebrate those who have transformed the current situation as a "given" and helped bring about breakthroughs and understanding, through acts of dedication and distinction. While human rights legislation has stated that everyone has a right to be included, we know that changing attitudes, values, beliefs and practices takes long-standing and consistent effort.

NOMINATE A PERSON OR A GROUP WHO HAS IMPACTED COMMUNITY INCLUSION FOR PERSONS WITH DISABILITIES IN ALBERTA

Our goal is to highlight the actions of individuals and/or organizations who have, over the past century and one half, dedicated themselves to provide education and services to help envision & sustain those with disabilities as participants in their communities. These organizations and individuals had a vision that every Albertan could be included and involved in their community, rather than side-lined and underachieving, bringing diversity & strength to the entire province.

ELIGIBILITY We are focusing on actions of individuals and groups located in Alberta,

within the past 150 years. Notwithstanding, we recognize that worthy nominations may be, or have been, located outside the province.

One cannot nominate themselves, one’s spouse or a member of one’s immediate family.

SELECTION PROCESS

1

Funded with the assistance of Alberta Canada 150 grant, Alberta Culture & Tourism

“WE ALL BELONG” THOSE WHO MADE A DIFFERENCE -150 YEAR HISTORY OF INCLUSION IN ALBERTA, NOMINATION FORM

Deadline for nominations –September 30, 2017 at 4.30 p.m. Nominations screened and rated. A nominator may be contacted if further

information is needed. Selections made – October 20, 2017.

NOMINATION FORM(Deadline for submission Friday, September 29, 2017)

INFORMATION ON THE PERSON/GROUP BEING NOMINATED

Name of Nominee - individual or group

Address

E-Mail

Work Phone Cell or Home Phone

INFORMATION ON PERSON SUBMITTING NOMINATION

Name of Nominator

Address

E-Mail

Work Phone Cell or Home Phone

Relationship to Nominee

Nominator’s Signature

Date

REASONS FOR NOMINATION

2

Funded with the assistance of Alberta Canada 150 grant, Alberta Culture & Tourism

“WE ALL BELONG” THOSE WHO MADE A DIFFERENCE -150 YEAR HISTORY OF INCLUSION IN ALBERTA, NOMINATION FORM

It is important this information is accurate and complete, providing a detailed description of the Nominee and the

positive community inclusion impact occurring as a result of the Nominee’s efforts.

PLEASE USE A 12 POINT FONT DOUBLE SPACE

WORD LIMIT 1,000.

SUPPORTING MATERIALSPlease feel free to submit up to 4 pieces of supporting materials – copies of articles, letters etc. Unfortunately, we are unable to return these.

HOW TO SUBMIT NOMINATIONSE-Mail: mail@fsnaps.orgFax: (403) 603-3233

QUESTIONS?E-Mail: hire@fsnaps.org (Alise) or osmall@fsnaps.org (Orvella)Call: Alise or Orvella at (403) 603-3232 (1-866-507-6277 for long distance)

NEED ASSISTANCE? WE CAN HELP!We are an Inclusive and Accessible organization.

Foothills SNAPS,123 4th Avenue SWHigh River, ABT1V 1M3 www.fsnaps.org1 866 507 6277

Thank-you!

3