Building Bridges Nomination Form 2019 C2C Building Bridges Nomination The Building Bridges award recognizes an individual, organization, or business that understands the value of inclusiveness in a community and works to enhance the individual perspectives and contributions of all community members. Your Name* First Last Your Phone Number*Your Email* Nominee Name First Last If you are nominating an organization, skip this and go to organization.Nominee Title/PositionNominee OrganizationUse this if you are nominating an organization and not an individualNominee Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Nominee's Phone Number*Nominee's Email* Nominee's PhotoPlease upload a picture of the nominee if you have one.Please describe how the nominee has created opportunities to develop inclusive communities.*200 words maximumPlease give specific examples of how the nominee's accomplishments have created opportunities for individuals with disabilities to participate in their community.*250 words maximumPlease share specific examples of how the nominee has inspired others to get involved, take responsibility or assume leadership positions to make positive changes for individuals with disabilities.*Please give specific examples of how the lives of individuals with disabilities have improved because of the nominee's work.*If you have any more information you would like to share about the nominee please write it down here.150 word maximumEmailThis field is for validation purposes and should be left unchanged.