Consumer Award Nomination
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  Consumer Award Nomination Form

Do you know a consumer of speech, language or audiology services who is successfully communicating with others, achieving well with their disability? Do you know of someone who works tirelessly, promoting the rights of those with communication disabilities? If the answer to either or both of these questions is yes, read on. The Ohio Speech-Language-Hearing Association would like to help you recognize the individual or group.

The Consumer Liaison Committee is sponsoring a project to recognize these successes. For complete information, see the article about OSLHA Consumer Awards below. Mail recommendations for these honors, no later than January 31, 2007.

Nominee's Name:

Address:

City / State / Zip:

Phone:

Age category: 

Please provide:

a)  Brief background of the nominee's communication handicap (if applying for outstanding achievement of a client).:

b)  Reason for nomination: 

c)  Objective summary of nominee's accomplishments.

Nomination submitted by:

Name: 

Phone: 

E-Mail: 

 

AWARDS TO WINNERS:    To be given at the OSLHA Convention in Columbus, March 9, 2007.
 
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