Plays Well with Others Nomination Form 2019 C2C Plays Well with Others Nomination The Plays Well with Others award honors an individual, organization or business that has shown outstanding leadership by bringing together community partners to enhance the lives of individuals with disabilities. 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 include a picture of the nominee if you have one.Please describe how the nominee has enhanced collaboration with like minded groups to improve the lives of individuals with disabilities in his or her community.*200 words maximumPlease share specific examples of how the nominee's accomplishments in bringing together community partners has improved the lives of individuals with disabilities.*250 words maximumPlease share specific examples of how the nominee's accomplishments have inspired others to get involved or assume leadership positions to make positive changes for individuals with disabilities.*If you have any further information you would like to share about the nominee please write it down here.150 words maximumPhoneThis field is for validation purposes and should be left unchanged.