This form can be printed.
(Advocacy, Cooperation, and Concern for Encouraging Student Success)
The ACCESS Award is presented by OK-AHEAD in recognition of someone outside the field of Disability Support Services (DSS) who advocates, supports, furthers the issues of equal access and equal opportunity to higher education for students with disabilities. Selection made at February board meeting; presented at spring conference.
(Nominee)
Name:
Title/Occupation:
Contact Information:
Address/phone/e-mail
(Nominator)*for purpose of clarifying information re: the Nominee
Name:
Contact Information:
Address/phone/e-mail
Reason for nomination (use back of sheet or attach separate sheet to Nomination Form):
Return to: Mike Shuttic, OSU, SDS, 315 Student Union, Stillwater, OK 74078