Independence, Inc.
On-Line Form

Community Access Awards 

Independence, Inc. is seeking nominees for this year's Community Access Award and the Roger Williams Community Access Award. The awards publicly recognizes people whose actions clearly promote independent living for people with disabilities in integrated and accessible communities. Nominations are requested from people in Douglas, Franklin, or Jefferson counties.

• Community Access Award 
  Recognizes an individual, business, organization, or group whose on-going efforts or activities have advanced opportunities for people with disabilities to live active, contributing lives in their community. 

• Roger Williams Community Access Award
  Named in honor of pioneering disability advocate Roger Williams, this award recognizes an individual with a disability whose advocacy efforts make a positive impact on their community.

Independence, Inc. Award Form

Name of Nominee:

Title/Organization (if applicable):

Address:

Telephone:

Category:    Community Access Award /      Roger Williams Community Access Award

Please indicate below why you feel the nominee should be considered for an Award.

   

Your Name:

Title/Organization (if applicable):

Address:

Telephone:

You may make more than one nomination. Submit completed forms by (appropriate time): 
Independence, Inc., 2001 Haskell Ave., Lawrence, KS 66046.