Award Nominations Form

Please use the form below to nominate an individual for one of the awards listed below. If you have any questions relating to the information requested you may call 412.683.7100 or toll-free at 1.888.954.2424 to speak with someone now. The information included on this nomination form will be considered confidential and is intended only for the use of the independent panel of judges. Required fields have been indicated with an *.

Nominator Information

First Name: *

Last Name: *

Title:

Company:

Email: *

Phone: *

Fax:

Address: *

City: *

State: *

Zip: *

Nominee Information

First Name: *

Last Name: *

Title:

Company:

Email: *

Phone: *

Fax:

Address: *

City: *

State: *

Zip: *

Award Categories

Please check the appropriate box(s):*

Advocacy and Awareness Award:

This award is given to an individual or group who has raised awareness of disability issues to a level that has resulted in meaningful change for individuals with disabilities.

Community Hero Award:

This award recognizes the work of individuals who are helping UCP of Pittsburgh achieve their mission — a community where each belongs. This award is given each year to an individual, corporation, or organization, which through their actions has been able to enhance and improve the quality of life for all individuals in the community.

Gertrude Labowitz Lifetime Achievement Award:

This award is given each year to an individual or organization in recognition of their outstanding record of enhancing the quality of life for people with disabilities. The award was founded in 1987 in honor of UCP Board Charter Member Gertrude Labowitz and her lifelong commitment to human services.

Humanitarian Award:

This award is given to an individual or corporation that has shown special commitment and generosity of spirit in benefiting people with disabilities.

Descriptive Narrative

Please use the text area below to attach a narrative description comprising 250 words or less describing your reasons for this nomination. Be sure to include back-up material addressing any of the criteria, under the appropriate category.

Narrative:

Narrative File:

You may also use the file upload field below to submit your Narrative Description.