Golden Leaf Awards Nomination Form The Golden Leaf Awards recognize dedicated and community-minded people who exemplify excellence in inclusion, employment, advocacy, and support on behalf of citizens in Clark County who have developmental disabilities. NOMINATIONS WILL BE ACCEPTED UNTIL MIDNIGHT ON AUGUST 15, 2019. YOUR CONTACT INFORMATIONYour Name* First Last Your Email* Your Phone*NOMINATION CATEGORY*Champion City Employer of the Year Award (Nominee is a business)Donnis Bailey Self Advocacy Award (Nominee is a person with developmental disability)Dr. F.F. Mueller Visionary Award (Nominee is a person, business, or organization)DSP Excellence Award (Nominee is a person who is paid to provide care for someone with DD)Rosemary Paxson Award (Nominee is a person or organization)NOMINEE CONTACT INFORMATIONNOMINEE'S NAME* First Last NOMINEE'S EMAIL NOMINEE'S PHONE*NOMINEE'S ORGANIZATION/BUSINESS (if applicable)NOMINATION INFORMATIONFOR A DESCRIPTION OF EACH AWARD, PLEASE VISIT THE AWARDS PAGE.WHY SHOULD THE NOMINEE RECEIVE THIS AWARD? Submissions with very specific information about the nominee give your nominee better chances of winning the award. Please be as detailed as possible.*NameThis field is for validation purposes and should be left unchanged.