Business Partnership Award

Honors a small to large commercial business that has partnered with a SourceAmerica-affiliated nonprofit agency to increase employment opportunities for people with disabilities.

Nominations are accepted from SourceAmerica's network of nonprofit agencies and from SourceAmerica employees and senior leadership.

Nominee

Official Name of Organization *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Name of Contact Person from the Organization *

Job Title of Contact Person *

Email Address *

Telephone *

Nominator

First Name *

Last Name *

Organization *

Official Job Title *

Telephone Number *

Email Address *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

CEO Name *

CEO Mailing Address (if different from above)

CEO Mailing Address 2

City/Town

State/Province

ZIP/Postal Code

CEO Email Address *

Please respond to the prompts below. The first four are required for this award.

Provide a brief overview of the contract/s held by this business partner (products/services provided, number of years this contract has been in place, number of individuals with disabilities employed, etc.) *

Provide a detailed description (with examples) of how this partnership has increased employment opportunities for people with disabilities. *

Provide detailed examples of other positive impacts this partnership has had. *

Provide a detailed description of why the nominee is an ideal candidate to win this award. *

Is there anything else you want us to know about this nominee? (optional)

Supporting Documents

Add up to three supporting items to strengthen your nomination. Examples include: press releases, news stories, work samples, videos, internal or external reviews, etc.

Supporting Documents

Up to three files can be uploaded to this field.
20 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.

Acknowledgments

Nominee Notification *

By checking this box, I am confirming that the nominee has been notified of their nomination as an entrant in the Achievement Awards program.

Slideshow Video and Promotional Activities *

By checking this box, I acknowledge that the nominee is aware that if they are selected, they will be featured in a slideshow video and that photography may take place at their workplace or nearby locations. I also acknowledge that if my nominee is selected, they are aware that the nonprofit agency, the nominee, and anyone who is featured in the slideshow video will be required to sign a promotional media release and a personal media release, as applicable. For more information, review our required Promotional Release and Personal Media Release forms.

Eligibility Guidelines *

By checking this box, I acknowledge that I have reviewed the eligibility guidelines.