WVADE Awards Nomination Form

View Award Descriptions Here

The West Virginia Association for Disability Employment would like to invite the public to nominate those working to increase the livelihood of the disabled community, throughout the Mountain State.

Select Award

Nominator's Name:

Nominator's Email Address:

Nominator's Phone Number:

Nominee's Name:

Please include full name.

Nominee's Email Address:

Nominee's Phone Number:

Nominee's Mailing Address:

Nominee's Employer or Organization:

Please describe how the nominee has contributed to the disability community in West Virginia:

Please describe your relationship with the nominee:

Additional Comments: