Opening Doors Nomination Form 2019 C2C Opening Doors Nomination The Opening Doors award recognizes an individual, organization or business who has been instrumental in increasing opportunities for individuals with disabilities to access their community. Your Name* First Last Your Phone Number*Your E-mail Address* Nominee Name First Last If you are nominating an organization, please skip this and go to organization name.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 Phone Number*Nominee E-mail Address* Nominee PhotoPlease upload a picture of the nominee if you have one.Please share specific examples of how the nominee's accomplishments have provided opportunities for accessibility for individuals with disabilities within 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.*150 words maximumPlease share specific examples of how the lives of individuals with disabilities have improved because of the nominee's work?*If you have any further information you would like to share about the nominee please write it down here.CommentsThis field is for validation purposes and should be left unchanged.