NCSE Milton Cohen Leadership Award

Pays tribute to an individual within the AbilityOne® community of nonprofit agencies, or anyone previously retired within the past year, who has shown national leadership within or on behalf of the AbilityOne Program, made an impact across the entire AbilityOne community, and increased employment opportunities for people with disabilities.

Nominations are accepted from SourceAmerica's network of nonprofit agencies.

Nominee

First Name *

Last Name *

Organization *

Official Job Title *

Time at Organization *

Nominator

First Name *

Last Name *

Organization *

Official Job Title *

Telephone *

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 detailed description of how your nominee has exhibited national leadership within or on behalf of the AbilityOne community. *

Provide detailed examples of the impact your nominee has made across the entire AbilityOne community to increase employment opportunities for people with disabilities. *

Provide detailed examples of your nominee's accomplishments related to policy changes, advocacy, federal procurement, or other activities that have been replicated nationally (e.g. developing or implementing assistive technology). *

Provide a detailed description of why your 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 they will be required to submit photos spanning their career for this video. 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 may 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, which can be provided to the nominee upon request.

Eligibility Guidelines *

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