Imagine Awards Nomination Form
This form is to nominate an Individual with a Disability. This award is given to a person with a disability for outstanding personal achievements.
For assistance or questions, please contact:
845 Park Place
New Albany, IN 47150
Guidelines: Please be as specific and detailed as possible. The more specific the information, the greater chance your nominee will have to be selected for an Imagine Award. If you would like to provide additional documentation or information, up to two 8 1/2 x 11" size documents can be sent to email@example.com.
Nominees must work and/or live in Clark, Floyd, Harrison, Scott, or Washington Counties in Indiana or Jefferson County, Kentucky.
*Please note that employees of Rauch, Inc. are not eligible to submit Imagine Awards nominations, but are welcome to encourage others in the community to do so.