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RSA Award of Excellence - Nominations

Who Is Eligible for Nomination?

Any direct-service professional or manager working in the field of developmental disabilities/dual diagnosis is eligible.  Nominees must work within agencies, schools or other organizations in the RSA catchment Area.

Nomination Process

Complete the form below and submit your nomination on-line.

Or, you may also write and mail or fax your nomination. If you do, please include the information requested on the form below and send it to:

Dale Munro, RSA Award Chair
633 Colborne Street, 2nd Floor
London, Ontario
N6B 2V3

Phone: (519) 433-7238
Fax: (519) 433-1799

Nomination Form

Please provide all of the information requested below.

Nominee Information
Nominee's Name
Agency or Organization
Telephone
Brief Biography (three or four sentences)

Narrative Summary

Please describe the skills, attributes, accomplishments and achievements demonstrated by the nominee that makes her/him a worthy winner of this award.

Should not exceed 500 words.

Person Making Nomination
   
Name
Agency or Organization
Telephone
Email